7923 19TH DR SE 2018-07-20 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/25/2016 Permit#: PW1608-068 PROJECT ADDRESS: 7923 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?K YES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#:C 1666-0S7 FIRE SPRINKLER REWIRED?(by Fire Department/Code) %YES—Type /,3 f/ (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) 0 N Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: 0o FIRE SERVICE: ❑YES—Amount$ J��6O ^ / 0 YES—Amount$ Nr Meter Only, 0 Complete Service, Size / 0 3/4" Detect Meter Only, 0 Fire Service Size ❑ NO ❑ 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? DO YES-Amount$ 7D' New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT E ? '17 ale )(YES—Amount$ 0 See Attached Spreadsheet ❑ NO—No Change of Use I Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑YES—Amount$ D°� 0 See Attached Spreadsheet J$`NO fwd for When /1)/4/ G✓ s teCorc/e(� ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ,L YES—TYPE .3'' Tib 0 See Attached Letter 0 N Public Works Reviewer Signature Date REVISED 2/24/2016