7915 20TH AVE SE 2018-03-14 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/24/2016 Permit#: CPW1608-04 PROJECT ADDRESS: 7915 20TH AVE SE DESCRIPTION OF WORK: CONSTRUCT NEW TOWNHOUSE UNIT CONTACT INFORMATION: OWNER: APPLICANT: NAME: ALPINE HEIGHTS DEVELOPMENT NAME: STEVE SNYDER ADDRESS: 120 SW EVERETT MALL WAY ST100 ADDRESS: 120 SW EVERETT MALL WAY EVERETT,WA, 98204 EVERETT,WA,98204 PHONE: PHONE: 3609532800 EMAIL: EMAIL: MATTR@SEAPACHOMES.COM CONTACT: 0 Owner 0 Applicant ❑Other NAME: [ContactName] PHONE: [ContactPhone] EMAIL: [ContactEmail] COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required? 21 YES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: C/4 06-033 FIRE SPRINKLER REQUIRED?(by Fire Department/Code) AYES-Type 1_3 (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) 0 NO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE; 00 FIRE SERVICE; ❑YES-Amount$ 5 0 r !/ ❑YES-Amount$ ,tar Meter Only, 0 Complete Service, Size / ❑'/a" Detect Meter Only, 0 Fire Service Size ❑ NO ❑ NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? 00 'YES-Amount$ 7D'— /New Connection, 0 Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? it/ %YES-Amount$ ?5 /0 0 See Attached Spreadsheet 2407 ❑ 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°-`-' 0 See Attached Spreadsheet %NO pc? cf cJheh /)Car 'Jas teo 'c/dc1 ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) EYES-TYPE S Pg. 0 See Attached Letter ❑ NO k Public Works Reviewer Signature Date REVISED 2/24/2016