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• <br /> 4:77PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 11/3/2015 <br /> Permit#: Ct511=003- <br /> PROJECT ADDRESS: 26920 — 78 fy ,/ C/Sf/ —005' <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE /'kL /4,c2-033 <br /> CONTACT INFORMATION: Z OT �t9 <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 /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: SZ-18 716./4 -003 <br /> PW Permit Required? IN YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> lid YES-Type /3' /b (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑NO <br /> Explanation: Sfeep ieOQdcva`/S/cir'e Code <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEE? �p II <br /> P3 YES—Amount$ - 7 ' ® Meter Only, 0 Complete Service,Type/Size <br /> ❑ NO <br /> Explanation: tSGi'k ce- ck/ins c LCec/ Z / dive Lc��Q - _�i iJ7� a'da i,g me/ev <br /> Existing Utility Permit#(if applicable): c/ <br /> SEWER FEE? <br /> 131 YES—Amount$ 7� 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> O NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ❑YES—Amount$ 0 See Attached Spreadsheet <br /> EJ NO—No Change of Use/Other <br /> Explanation: CI-eci/7( CX rS71/,;?) /110U,sSrs/ See map 4' 4 CG1ea <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? 0 <br /> El YES—Amount$ Zo ?3 �-'" 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 Si"--W 0 See Attached Letter <br /> ❑ NO <br /> 02 -/S?-/6 <br /> Public •rks Reviewer Signature Date <br /> REVISED 1/5/2016 <br />