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4/677. PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/9/2017 <br /> Permit#: PW1703-019 <br /> PROJECT ADDRESS: 3344 31ST DR LOT 102 <br /> DESCRIPTION OF WORK: NEW TOWNHOME/TRAFFIC MITIGATION <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?OfYES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#:C/6© V^ d-1g <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 0 YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> VNO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: oo FIRE SERVICE: <br /> ft! YES—Amount$ 480 /1' �� ❑YES—Amount$ <br /> Ig Meter Only, 0 Complete Service, Size 3/(f 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO pg.NO <br /> Explanation: Explanation: <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <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 /> YES—Amount$ Zc5 .c.milss.c. Of New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> I:ilYES-Amount$ g *Q4.0 S r 0 See Attached Spreadsheet iMt 4-t 41-rt �! <br /> ❑ NO—No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? eo/ <br /> I YES—Amount$ 3 --/ 0 See Attached Spreadsheet /22.12_ <br /> ❑ NO p/14 . fnrt <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> C9rYES—TYPE l2 0 See Attached Letter <br /> NO <br /> PW Reviewer: (� J .r N vS Date: 3 .l n /eb <br /> cj`J 1/ f�-- <br /> REVISED 10/11/2016 <br />