7924 20TH AVE SE 2018-03-28 - Laserfiche WebLink

477PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/25/2016 Permit#: PW1608-061 PROJECT ADDRESS: 7924 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?BYES 0 NO W.O.#: �+ / Notes: Associated Bldg./PW Permit#: C/6c 6 -05? FIRE SPRINKLER REQUIRED?(by Fire Department/Code) YES-Type /3 D (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: ElS YES-Amount$ '0 fpO I El YES-Amount$ 'Meter Only, 0 Complete Service, Size I 0%" Detect Meter Only, ❑ Fire Service Size ❑ NO El NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(lf yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? %YES-Amount$ 7D i )(New Connection, ❑Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? /g/ RYES-Amount$ 796 ❑ See Attached Spreadsheet ❑ NO-No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? B ❑YES-Amount$ OP-- 0 See Attached Spreadsheet 'NO Pra;c1 ppc /"C01-0 ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) . (YES-TYPE S 0 See Attached Letter ❑ NO Public Works Reviewer Signature Date REVISED 2/24/2016