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• <br /> • <br /> 4477* PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 11/3/2015 <br /> Permit#: C4-54-1-043- <br /> PROJECT <br /> 1511 003-PROJECT ADDRESS: 20/8 - 78 c /5/I- <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: ALPINE HEIGHTS DEVELOPMENT NAME: [AppName] <br /> ADDRESS: 120 SW EVERETT MALL WAY SUITE ADDRESS: [AppAdd] <br /> EVERETT,WA, 98204 [AppCi], [AppSt], [AppZip] <br /> PHONE: PHONE: [AppPhone] <br /> EMAIL: EMAIL: [AppEmail] <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: STEVE SNYDER <br /> PHONE: 4253190122 <br /> EMAIL: STEVE.S@SEAPACHOMES.COM <br /> LC 7L39 <br /> .5 <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT eie /4-00 q. <br /> PW Permit Required? Ill YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#:C 19)—00 4- <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> YES—Type /.3 L (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 0N <br /> Explanation: �5'72e? e0Qc%va it`/S/7cr''e C ode <br /> (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEE? CO <br /> 'AYES—Amount$ -��„, El Meter Only, 0 Complete Service,Type/Size / <br /> ❑ NO <br /> Explanation: tSer`"ct' �cLiaos//i7S7zl c( ddt/eLcpev^ _ Ji/J7( a'd'a' meek" <br /> Existing Utility Permit#(if applicable): J c/ <br /> SEWER FEE? <br /> 7od <br /> In YES—Amount$ � 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> 0 YES—Amount$ 0 See Attached Spreadsheet <br /> NO—No Change of Use/Other <br /> Explanation: 0--ea/i7( CX rj7lis;:f3 t>Se_S/see 4p alT 4 eke/ <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> El YES—Amount$ 20 93 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> El YES—TYPE .St' 0 See Attached Letter <br /> ❑ NO <br /> -/8/6 <br /> Public rks Reviewer Signature Date <br /> REVISED 1/5/2016 <br />