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PUBLIC WORKS <br />REVIEW WORKSHEET <br />(ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/25/2016 <br />Permit M PW1608-056 <br />PROJECT ADDRESS: 7923 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: 3609532800 <br />EMAIL: EMAIL: MATTR@SEAPACHOMES.COM <br />CONTACT: ❑ Owner ❑ Applicant ❑Other <br />NAME: [ContactName] <br />PHONE: [ContactPhone] <br />EMAIL: [ContactEmail] <br />COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT M <br />PW Permit Required? YES ❑ NO W.O. M //�// <br />Notes: Associated Bldg./PW Permit #: C. //ff 16c0 O' —OF 7 <br />FIRE SPRINKLER REQUIRED? (by Fire Department/Code) <br />YES —Type /3 A (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br />❑ NO <br />Explanation: <br />(Note: Counter Staff to Create Utility Permit for any Water/SewedSystem Development Fees) <br />WATER FEES? <br />DOMESTIC SERVICE: a-0 FIRE SERVICE: <br />❑ YES — Amount $ S�o // El YES — Amount $ <br />Meter Only, ❑ Complete Service, Size ❑ % Detect Meter Only, ❑ Fire Service Size <br />❑ NO ❑ NO <br />Explanation: Explanation: <br />❑ Water Department Cost Estimate Needed -(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br />Existing Utility Permit # (if applicable): <br />SEWER FEE? <br />YES — Amount $ �� k New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br />❑ NO <br />Explanation: <br />Existing Utility Permit # (if applicable): <br />SYSTEM DEVELOPMENT FEE? 177.54' <br />X YES — Amount $ 2— ❑ 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 />❑ YES — Amount $ o ❑ See Attached Spreadsheet <br />)�_NO f gild (iuheh Ala-/ Xecaj-olae' <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />YES — TYPE S Fib !'See Attached Letter <br />❑ NO <br />X-19 <br />Public Works Reviewer Signature Date <br />REVISED 212412016 <br />