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' * PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 4/11/2016 <br /> Permit#: C1604-011 <br /> PROJECT ADDRESS: 1905 78TH PL SE LOT 17 <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE(MARION 1816) <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: ALPINE HEIGHTS DEVELOPMENT NAME: [AppName] <br /> ADDRESS: 120 SW EVERETT MALL WAY SUITE ADDRESS: [AppAdd] <br /> EVERETT,WA, 98204 [AppCi], [AppSt], [AppZip] <br /> PHONE: PHONE: [AppPhone] <br /> EMAIL: EMAIL: [AppEmail] <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: STEVE SNYDER <br /> PHONE: 4253190122 <br /> EMAIL: MATTR@SEAPACHOMES.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? 'YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: 174)/6(gzi—Og 4 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 'YES—Type 113 (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> NO ,, <br /> Explanation: S E,y7 SF-<>?..� fi x, <br /> (Note:Counter Staff to Create77'' Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> 4-YES—Amount$ 560,C`%' �, ❑YES—Amount$ <br /> WMeter Only, 0 Complete Service, Size I 0 3/" Detect Meter Only, 0 Fire Service Size <br /> D NO `ANO <br /> Explanation: Explanation: <br /> ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> EYES—Amount$ 710. Kew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> O NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> WYES—Amount$ 02 w 20 0 See Attached Spreadsheet <br /> O NO—No Change of Use/Other <br /> Explanation: /$'I( SF SF_ <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> DYES—Amount$ 0 See Attached Spreadsheet <br /> coipti <br /> ADDRESS LETTER EQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> YES—TYPE SFr_ lErSee Attached Letter <br /> ❑ NO <br /> ) 3-Llh a 1'E& /`0,, 2016 <br /> g <br /> Public Works Reviewer Signature Date <br /> REVISED 2124/2016 <br />