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477PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 12/1/2016 <br /> Permit#: PW1612. <br /> PROJECT ADDRESS: 79/O 20TH AVE SE Z.0749se12 <br /> DESCRIPTION OF WORK: CONSTRUCT NEW TOWNHOUSE UNIT!SITE WORK <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: jContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: jContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?Z YES 0 NO W.O.#: <br /> Notes: Associated BIdg.IPW Permit#: 0/6O6 —DS <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ,AYES—Type /3 LD (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> I:1 NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: 'Le? FIRE SERVICE: <br /> ❑YES—Amount$ 56(7 ❑YES—Amount$ <br /> )`Meter Only, ❑Complete Service, Size /�/ ❑3/n Detect Meter Only, 0 Fire Service Size <br /> ❑ NO ❑ NO <br /> Explanation: Explanation: <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to,High-Hazard Site per Tim Markham's review) <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? Od <br /> XYES—Amount$ 7o-- )X New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE?4. <br /> %YES—Amount$ q 0 See Attached Spreadsheet 1816112 <br /> ❑ NO—No Change of Us 7 Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ID YES—Amount$ Q© 0 See Attached Spreadsheet <br /> ANO Paid who-) ;2 t was recorded <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> III YES—TYPE S E-74" a See Attached Letter <br /> El NO <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />