Laserfiche WebLink
477 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 12/1/2016 <br /> Permit#: PW1612-003 <br /> PROJECT ADDRESS: 7914 20TH AVE SE Lo f' - 75 <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 ❑ Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?EI YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C/6.06 —063 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> , "YES—Type /3 t (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 0 N <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> 'OMESTIC SERVICE: /AFIRE SERVICE: <br /> ❑YES—Amount$ J��c� ❑YES—Amount$ <br /> Meter Only, 0 Complete Service, Size /`y ❑%" Detect Meter Only, ❑ Fire Service Size <br /> 0 N CI 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-(lf yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> EWER FEE? <br /> RYES—Amount$ 7o� New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE't�I 47 • (� <br /> %YES—Amount$ 0 See Attached Spreadsheet * 1 _ <br /> 0 NO—No Change of Use/Other Vf3 <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ 0 eo 0 See Attached Spreadsheet <br /> NO Paid When pta-z'- WaS recorded <br /> AIDDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> , YES—TYPE S lin See Attached Letter <br /> ❑ NO <br /> PW Reviewer: Date: <br /> 12— / <br /> REVISED 10/11/2016 <br />