7920 20TH AVE SE 2018-03-28 - Laserfiche WebLink

477. PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/25/2016 Permit#: PW1608-063 PROJECT ADDRESS: 7920 20TH AVE SE DESCRIPTION OF WORK: CONSTRUCT NEW TOWNHOUSE UNIT CONTACT INFORMATION: OWNER: APPLICANT: NAME: ALPINE HEIGHTS DEVELOPMENT NAME: STEVE SNYDER ADDRESS: 120 SW EVERETT MALL WAY ST100 ADDRESS: 120 SW EVERETT MALL WAY EVERETT,WA, 98204 EVERETT,WA, 98204 PHONE: PHONE: 3609532800 EMAIL: EMAIL: MATTR@SEAPACHOMES.COM CONTACT: 0 Owner 0 Applicant ❑Other NAME: [ContactName] PHONE: [ContactPhone] EMAIL: [ContactEmail] COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required?gir YES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: 0/606 —061 FIRE SPRINKLER REQUIRED?(by Fire Department/Code) l`YES–Type /.3 .b (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) ❑ NO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: FIRE SERVICE: ❑YES–Amount$ Slo0 p0 �/ 0 YES–Amount$ ,Meter Only, 0 Complete Service, Size / ❑' " Detect Meter Only, 0 Fire Service Size 0 N 0 N Explanation: Explanation: ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? o Ar YES–Amount$ 70 )(New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect 0 N Explanation: Existing Utility Permit#(if applicable): __ SYSTEM DEVELOPMENT F ?Q YES–Amount$ v? bP 0 See Attached Spreadsheet �81 ❑ NO–No Change of of UOther Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? o ❑YES–Amount$ ©�- 0 See Attached Spreadsheet AlNO R d token Pi47/ corded ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ,YES–TYPE S/ /e ''See Attached Letter ❑ NO 8-24—/X, Public Works Reviewer Signature Date REVISED 2/24/2016