7808 19TH DR SE 2018-02-27 - Laserfiche WebLink

r, 01677_ PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 4/11/2016 Permit#: C1604-017 PROJECT ADDRESS: 7808 19TH DR SE LOT 23 DESCRIPTION OF WORK: NEW TOWNHOUSE(MARION 1816) CONTACT INFORMATION: OWNER: APPLICANT: NAME: ALPINE HEIGHTS DEVELOPMENT NAME: [AppName] ADDRESS: 120 SW EVERETT MALL WAY SUITE ADDRESS: [AppAdd] EVERETT,WA, 98204 [AppCi], [AppSt], [AppZip] PHONE: PHONE: [AppPhone] EMAIL: EMAIL: [AppEmail] CONTACT: 0 Owner 0 Applicant ❑Other NAME: STEVE SNYDER PHONE: 4253190122 EMAIL: MATTR@SEAPACHOMES.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required?0 YES 0 NO W.O. #: Notes: Associated Bldg./PW Permit#: Pin)i oq-03C� FIRE SPRINKLER REQUIRED? (by Fire Department/Code) 'LYES—Type i3 D _ (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) 0N Explanation: PI l2E Q.J2Dve � S• y2i-01S (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: FIRE SERVICE: i ❑AYES—Amount$ 56c,L6 YES—Amount$ aMeter Only, 0 Complete Service, Size 0 3/4" Detect Meter Only, 0 Fire Service Size ❑ NO ,NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? BYES—Amount$ INew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? EIYES—Amount$ 111)2.�' 0 See Attached Spreadsheet ❑ NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑ YES ,,—Amount$ 0 See Attached Spreadsheet P LEI-NO WI'`.41 pajii11.) ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) EYES—TYPE _JFi )/See Attached Letter ❑ NO 754(1,41FA /ZO/C Pu lic Works Reviewer Signature ate REVISED 2/24/2016