Laserfiche WebLink
girPUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/3/2015 <br /> Permit#: PW1508-001 <br /> PROJECT ADDRESS: 5805 HIGHWAY PL <br /> DESCRIPTION OF WORK: SITE WORK FOR NEW MULTI-FAM <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: KULGA AHMET&SEVALA NAME: Ahmet Kulaga <br /> ADDRESS: 1205 130TH ST S E ADDRESS: 1205 130th St SE#A <br /> EVERETT,WA, 98208 EVERETT,WA, 98208 <br /> PHONE: PHONE: 4255016441 <br /> EMAIL: EMAIL: <br /> CONTACT: tdOwner 0 Applicant ❑Other /1W <br /> NAME: Maher Welaye <br /> PHONE: 2068160455 L�'F '1eS <br /> EMAIL: maherwelaye@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: <br /> PW Permit Required? $(YES 0 NO LAND USE PROJECT#: Set (5-007 <br /> Please provide explanation: W.O.#: <br /> arm woRK a co Pw PciemtT ro,e, c,-1/"17--Sit-6. Associated Bldg./PW Permit#: BIS0S-00 <br /> FIFE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> OYES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEE? /� • <br /> %YES—Amount$ a l X 0 Meter Only, I$(Complete Service,Type/Size / Y 9 gjjj, <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): 74/,i- <br /> SEWER FEE? <br /> ❑YES—Amount$ tit New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: LtX R units <br /> Existing Utility Permit#(if applicable): N/A- <br /> SYSTEM DEVELOPMENT FEE? _ <br /> ❑YES—Amount$ ��� 5 ee Attached Spreadsheet <br /> ❑ NO—No C `nge oLUse/Other ( ¢� <br /> Explanation: ()W ARND'(�ES § 7370G< x o n,6is = t (59 Cp,(k 0-Of °I�o2 <br /> 3 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) fill ( P - <br /> TRAFFIC MITIGATION FEE? 11��ee • (001 -0003 <br /> YES—Amount$ $ 16 lo��J See Attached Spreadsheet <br /> 0 N . 4 I � _ <br /> i . <br /> '‘ <br /> Public Works Reviewer Signature Date 11;1 <br /> REVISED 12/16/2015 <br />