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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/25/2016 <br /> Permit#: PW1608-060 <br /> PROJECT ADDRESS: 7926 20TH AVE SE <br /> DESCRIPTION OF WORK: CONSTRUCT NEW TOWNHOUSE UNIT <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: 3609532800 <br /> EMAIL: EMAIL: MATTR@SEAPACHOMES.COM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?OYES 0 NO W.O.#: / <br /> Notes: Associated Bldg./PW Permit#: C /to/o6 " OS3 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> EYES—Type 13 D (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> ❑YES—Amount$ 560 // ❑YES—Amount$ <br /> "peter Only, 0 Complete Service, Size I 0 3/4"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO ❑ NO <br /> Explanation: Explanation: <br /> ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> fir D E —Amount$ 70 0- *New Connection, 0 Alteration/Repair, ID Cap-off/Reconnect <br /> O <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? [�] <br /> 'YES—Amount$ —9, f (O1gt 7 ❑ See Attached Spreadsheet <br /> Ste'0 T1 <br /> ❑ NO—No Change of Use/Other !P'L 3, <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ 0 See Attached Spreadsheet <br /> XfNO �G/� of f lqr f VlaCorcii;'J� <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> EYES—TYPE S Fg 0 See Attached Letter <br /> ❑ NO <br /> k9 U -24 <� <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />