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e!/1 -2--A <br /> PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/8/2016 <br /> Permit#: PW1608-020 <br /> PROJECT ADDRESS: 7909 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? EYES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: mos •03 i <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> AYES-Type /3 d (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 0 N /" �� <br /> Explanation: � i f/Zkf ' 1$a sfSP <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> AYES-Amount$ 5-4?> // ❑YES-Amount$ <br /> ❑ Meter Only, 0 Complete Service, Size / 0 3/" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO ❑ NO <br /> • <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 /> SEWER FEE? <br /> EYES-Amount$ -j> 0 New Connection, 0 Alteration/Repair, ❑ Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> IVES-Amount$ 64/ f# Z 0 See Attached Spreadsheet <br /> ❑ NO-No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> DYES-Amount$ 0 See Attached Spreadsheet e <br /> El NO f,4-i /..e A)4 .4. .i ` tijiza re.eo„ ata <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> di'YES-TY" 0 See Attached Letter <br /> ❑ NO gly <br /> i� ' 4)1A4- <br /> P b '•rks Reviewer Signa D e <br /> REVISED 2/24/2016 <br />