7922 20TH AVE SE 2018-03-28 - Laserfiche WebLink

4*-77PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/25/2016 Permit#: PW1608-062 PROJECT ADDRESS: 7922 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?,IYES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: C/ ,Of,—C940 FIRE SPRINKLER REQUIRED?(by Fire Department/Code) , YES-Type X3.1) (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: 1:3 YES-Amount$ 5-6 0912 /' ❑YES-Amount$ f 'Meter Only, 0 Complete Service, Size 1 0 3/" Detect Meter Only, 0 Fire Service Size_ 0 N 0 N Explanation: Explanation: ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? %YES-Amount$ 70-O "New Connection, ❑Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE 1 79 p %YES-Amount$ 7 !I ' `� 0 See Attached Spreadsheet 18 go* ❑ NO-No Change Uso er _ Explanation: _ (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑YES-Amount$ d 0 See Attached Spreadsheet ANO Paler whu, PZ04 re cordeo! ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) (YES-TYPE SFR , f'See Attached Letter ❑ NO Public Works Reviewer Signature Date REVISED 2/24/2016