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PUBLIC WORKS <br /> �� REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/16/2016 <br /> Permit#: PW1609-074 <br /> PROJECT ADDRESS: 7911 19TH DR SE <br /> DESCRIPTION OF WORK: CONSTRUCT NEW TOWNHOUSE UNIT-LOT 67 <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: ALPINE HEIGHTS DEVELOPMENT NAME: STEVE SNYDER <br /> ADDRESS: 120 SW EVERETT MALL WAY ST100 ADDRESS: 120 SW EVERETT MALL WAY <br /> EVERETT,WA,98204 EVERETT,WA,98204 <br /> PHONE: PHONE: 3609532800 <br /> EMAIL: EMAIL: MATTR@SEAPACHOMES.COM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: LACK—d <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> EYES—Type f3 t (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: FIRE SERVICE: <br /> EYES—Amount$ 560,213 <br /> 0 YES—Amount$ <br /> 'Meter Only, 0 Complete Service, Size 1 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> 0 N NO <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? <br /> EYES—Amount$ ©. R'New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPME T F ?� ima <br /> EYES—Amount$ '". ! 'TO See Attached Spreadsheet <br /> ❑ NO—No Change of Use Other <br /> Explanation: / 5 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ (}.5311 0 See Attached Spreadsheet <br /> RI'NO (tact (41A Pad- movie-4. <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ( 'YES—TYPE 'SF-P., Il See Attached Letter <br /> ❑ NO <br /> ....Aubsfrvu -Jankilrur ? /06 <br /> Public Works Reviewer Signature Da <br /> gate <br /> REVISED 2/24/2016 <br />