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47TPUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 4/11/2017 <br /> Permit#: PW1704=D14. <br /> PROJECT ADDRESS: 3402 31st Dr LOT / 013 <br /> DESCRIPTION OF WORK: SITE WORK FOR NEW TOWNHOME 1 TRAFFIC MITIGATION <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: POLYGON WLH LLC NAME: PNW Riverfront LLC <br /> ADDRESS: 11624 SE 5TH ST ADDRESS: 11624 SE 5th Street#200 <br /> BELLEVUE,WA,98005 BELLEVUE,WA,98005 <br /> PHONE: PHONE: 4255867700 <br /> EMAIL: EMAIL: nicka©polygonhomes.com <br /> CONTACT: ❑ Owner ❑ Applicant ❑Other <br /> NAME: PANI ALAN <br /> PHONE: 4255867700 <br /> EMAIL: ALAN.PANI a@POLYGONHOMES.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?'YES ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: e/,04 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 1 NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: �o oO FIRE SERVICE: <br /> %YES—Amount$ 0 YES—Amount$ <br /> .k Meter Only, 0 Complete Service, Size 4 ❑%"Detect Meter Only, ❑Fire Service Size <br /> 0 N ANO <br /> Explanation: Explanation: <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <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? 00 <br /> 7 <br /> %YES—Amount$ /0 f WI/New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> 0 NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> OYES—Amount$ F7 96. 0 See Attached Spreadsheet Fred size `IO(JS' <br /> ❑ NO—No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? 00 <br /> %YES—Amount$ 3✓7 0 See Attached Spreadsheet <br /> ❑ NO ice. See "r-7:ke bt--,c/ emQ/L <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> OYES—TYPE S!=/e , (See Attached Letter <br /> ❑ NO <br /> PW Reviewer: Date: 4 -/` -/ 7 <br /> REVISED 10/11/2016 <br />