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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/6/2016 <br /> Permit#: PW1609-004 <br /> PROJECT ADDRESS: 3301 31ST DR LOT 185 <br /> DESCRIPTION OF WORK: NEW TOWNHOME/TRAFFIC MITIGATION <br /> -n-1Z Towns IUerf(r0Of <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: POLYGON WLH LLC NAME: PNW Riverfront LLC <br /> ADDRESS: 11624 SE 5TH ST ADDRESS: 11624 SE 5th Street#200 <br /> BELLEVUE,WA,98005 BELLEVUE,WA, 98005 <br /> PHONE: PHONE: 4255867700 <br /> EMAIL: EMAIL: nicka@polygonhomes.com <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: PANI ALAN <br /> PHONE: 4255867700 <br /> EMAIL: ALAN.PANI@POLYGONHOMES.COM <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 ICO 0 4- -020 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES–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 FEES? <br /> DOMESTIC SERVICE: pd FIRE SERVICE: <br /> ❑YES–Amount$ "8d 3 0 YES–Amount$ <br /> .)5[Meter Only, 0 Complete Service, Size / 0 W Detect Meter Only, 0 Fire Service Size <br /> 0 N 0 N <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? 0 <br /> ,DYES–Amount$ 7U ,New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? od0 <br /> (YES–Amount$ 796 2. 0 See Attached Spreadsheet 1960 <br /> ❑ NO–No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer t2Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? , pp <br /> ,AYES–Amount$ 3.5/— 0 See Attached Spreadsheet <br /> ❑ NO ke erva I d <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> OYES–TYPE S F./2 0 See Attached Letter <br /> ❑ NO <br /> 8-6 -/4 <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />