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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/8/2016 <br /> Permit#: PW1608-021 <br /> PROJECT ADDRESS: 7911 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? CYYES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C/A044 - t <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ,IM'ES—Type / V.a_ / (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: 2JZ✓. / —Ata <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> I'YES—Amount$ 5-6 0 �� 0 YES—Amount$ <br /> 0 Meter Only, 0 Complete Service, Size / 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> 0N 0N <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 /> 1j 'YES—Amount$ ❑ New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> 0N <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> r1'ES—Amount$ � f/l� ❑ See Attached Spreadsheet <br /> J NO—No Change of U e/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> T `FFIC MITIGATION FEE? <br /> ®YES—Amount$ 0 See Attached Spreadsheet / <br /> ❑ NO PA M4 8 icee .�G. <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> YES—TYPE !=/Q 0 See Attached Letter <br /> NO <br /> SASP <br /> WEI <br /> Pub& .. Reviewer Signature Date <br /> IMP. <br /> REVISED 2/24/2016 <br />