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PUBLIC WORKS <br /> 1-- REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 12/1/2016 <br /> Permit#: PW1612, <br /> PROJECT ADDRESS: 7r 4 20TH AVE SE L® '482 <br /> DESCRIPTION OF WORK: CONSTRUCT NEW TOWNHOUSE UNIT I 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 DOther <br /> NAME: jContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: jContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?E YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C/606_ 0(4,7 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> , ('YES–Type /3 (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 0 NO <br /> Explanation: <br /> (We:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> c VATER FEES? <br /> DOMESTIC SERVICE: 6 Qo FIRE SERVICE: <br /> ❑YES–Amount$ Swd^ ❑YES–Amount$ <br /> 'Meter Only, 0 Complete Service, Size If/ 0 3/4"Detect Meter Only, 0 Fire Service Size <br /> El NO 0 N <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-(ifyes,PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> WER FEE? 0 <br /> YES–Amount$ 7o— )(New Connection, 0 Alteration/Repair, ❑ Cap-off/Reconnect <br /> 0 NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> LEA-TEM DEVELOPMENT FEFr; <br /> XYES–Amount$ ❑See Attached S readsheet <br /> 0 NO–No Change otlq <br /> e/Other p <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> 0 YES–Amount$ 0©� 0 See Attached Spreadsheet <br /> Paid whey) plal. was recc'rced <br /> WI DRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> X YES–TYPE S l=k A'See Attached Letter <br /> 0 N <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />