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4rErrPUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) \ Date: 8/4/2016 <br /> Permit#: PW1608-010 <br /> PROJECT ADDRESS: 7901 20TH AVE SE <br /> DESCRIPTION OF WORK: CONSTRUCT NEW TOWNHOUSE UNIT <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: ALPINE HEIGHTS DEVELOPMENT NAME: STEVE SNYDER <br /> ADDRESS: 120 SW EVERETT MALL WAY ST100 ADDRESS: 120 SW EVERETT MALL WAY <br /> EVERETT,WA, 98204 EVERETT,WA, 98204 <br /> PHONE: PHONE: <br /> EMAIL: EMAIL: MATTR@SEAPACHOMES.COM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? BYES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C/6.06, e,27- <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> EIYES—Type fab (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: %2SiaLr,VO 71,474;2410 • <br /> (Note:Counter Staff to Create Utility Permit for any® Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> ' ' ES—Amount$ 5'`� aJ / ❑YES—Amount$ <br /> Meter Only, 0 Complete Service, Size t 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO ❑ NO <br /> Explanation: Explanation: <br /> ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> S WER FEE? <br /> YES—Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> AYES—Amount$ 1'�Q/b 0 See Attached Spreadsheet Z` 404- V(2—.'FT <br /> ❑ NO—No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> T FFIC MITIGATION FEE? <br /> ES—Amount$ 0 See Attached Spreadsheet <br /> ❑ NO 51:0 w X2,4-t Zat Pe..e0lL e-ol <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> 'YES—TYPE 0 See Attached Letter <br /> ❑ NO <br /> 747/1 <br /> Pu.1c s Reviewer Signature Date <br /> REVISED 2/24/2016 <br />