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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/20/2016 <br /> /�', Permit#: PW1609-078 <br /> PROJECT ADDRESS: 4408 R SE t/lll 2M Ii/( <br /> DESCRIPTION OF WORK: SITE WORK FOR NEW SFR BASIC/2015 IRC-RB1502-009-LOT 26 <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: POLYGON WLH LLC NAME: POLYGON WLH LLC <br /> ADDRESS: 11624 SE 5TH ST SUITE 100 ADDRESS: 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE,WA, 98005 BELLEVUE,WA, 98005 <br /> PHONE: 4255867700 PHONE: 4255867700 <br /> EMAIL: jamie.aubrey@gmail.com EMAIL: jamie.aubrey@gmail.com <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: PANI ALAN <br /> • PHONE: 4255867700 <br /> EMAIL: ALAN.PANI@POLYGONHOMES.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: SUB I q OO <br /> PW Permit Required?ikYES 0 NO W.O.#: <br /> Notes: Associated BIdgJPW Permit#: 9-0/3 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES—Type FIR <br /> yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> EExxplaanation: t— f R& o1DE <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> KYES—Amount$ 9g0.19- Ir ❑YES—Amount$ <br /> )i;Meter Only, 0 Complete Service, Size 3/111 0 3/" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO KNO <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 /> AYES—Amount$ <br /> New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ) YES—Amount$ 9,c110% l 9- 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other �7 per, <br /> Explanation: 2 VZ— <br /> (Note: <br /> Ll <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> (YES—Amount$_ 8511. 5.-6 ❑ See Attached Spreadsheet <br /> CI NO ,�l p� I'n g EimLt( (if-29-16 d ) <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> DYES—TYPE SFIZ,_ la4 See Attached Letter <br /> ❑ NO <br /> 1.61P03— 2,014 <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />