7905 19TH DR SE 2018-07-20 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/16/2016 Permit#: PW1609-071 PROJECT ADDRESS: 7905 19TH DR SE DESCRIPTION OF WORK: CONSTRUCT NEW TOWNHOUSE UNIT-LOT 64 CONTACT INFORMATION: OWNER: APPLICANT: NAME: ALPINE HEIGHTS DEVELOPMENT NAME: STEVE SNYDER ADDRESS: 120 SW EVERETT MALL WAY ST100 ADDRESS: 120 SW EVERETT MALL WAY EVERETT,WA, 98204 EVERETT,WA,98204 PHONE: PHONE: 3609532800 EMAIL: EMAIL: MATTR@SEAPACHOMES.COM CONTACT: 0 Owner 0 Applicant ❑Other NAME: [ContactName] PHONE: [ContactPhone] EMAIL: [ContactEmail] COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required? YES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: C'. /p O FIRE SPRINKLER REQUIRED?(by Fire Department/Code) ['YES—Type I`3 1> (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) O NO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: � !t4 FIRE SERVICE: YES—Amount$ 5bO• �� ❑YES—Amount$ 1$Meter Only, 0 Complete Service, Size I ❑3/" Detect Meter Only, 0 Fire Service Size ❑ NO )ii[NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? AYES—Amount$ 4 is New Connection, 0 Alteration/Repair, 0 cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? EYES—Amount$ 93 i0 t 0 See Attached Spreadsheet ❑ NO—No Change of Uge/Other Explanation: 1L/O7-- (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑YES—Amount$ 01' 0 See Attached Spreadsheet EtNO Pad °Arai r-0 ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) EYES—TYPE cS gr See Attached Letter ❑ NO ) i,-ifr& 9-16-2 o// Public Works Reviewer Signature Date REVISED 2/24/2016