7919 19TH DR SE 2018-07-20 - Laserfiche WebLink

477- PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/25/2016 Permit#: PW1608-066 PROJECT ADDRESS: 7919 19TH DR SE DESCRIPTION OF WORK: CONSTRUCT NEW TOWNHOUSE UNIT 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#: t2 /6D6– OSS FIRE SPRINKLER REQUIRED?(by Fire Department/Code) KYES–Type /3 p (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) ❑ NO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: �" FIRE SERVICE: -- ❑YES–Amount$ 56 o // ❑YES–Amount$ Meter Only, 0 Complete Service, Size / 0 3/4"Detect Meter Only, 0 Fire Service Size 0 N 0 N 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? ©o YES–Amount$ 7e9 — )(New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? g YES–Amount$ 7962 0 See Attached Spreadsheet r 77546 ❑ NO–No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑YES–Amount$ O OQ 0 See Attached Spreadsheet NO paid wheh pled- was /'ecorded ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) I'YES–TYPE S'Fg Oree Attached Letter ❑ NO 3 c- Z4 - a Public Works Reviewer Signature Date REVISED 2/24/2016