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4ETT PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 10/27/2016 <br /> Permit#: PW1610-041 <br /> PROJECT ADDRESS: 7912 19TH DR SE LOT 62 <br /> DESCRIPTION OF WORK: CONSTRUCT NEW TOWNHOUSE UNIT <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: ALPINE HEIGHTS DEVELOPMENT NAME: STEVE SNYDER <br /> ADDRESS: 120 SW EVERETT MALL WAY ST100 ADDRESS: 120 SW EVERETT MALL WAY <br /> EVERETT,WA, 98204 EVERETT,WA, 98204 <br /> PHONE: PHONE: 3609532800 <br /> EMAIL: EMAIL: MATTR@SEAPACHOMES.COM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? 14 YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#:C 16()6— 0410 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> Al YES—Type /3 D (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: 00 FIRE SERVICE: <br /> 0 YES—Amount$ 560 -'" 0 YES—Amount$ <br /> Es Meter Only, 0 Complete Service, Size / 0%" Detect Meter Only, 0 Fire Service Size <br /> CI NO CI NO <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 /> ,4 YES—Amount$ 70 ,g(New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): 11 <br /> SYSTEM DEVELOPMENT FEE? '?4" Cull) <br /> i(YES—Amount$ 0 See Attached Spreadsheet /8// <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? <br /> ❑YES—Amount$ 0�I 0 See Attached� Spreadsheet <br /> xi NO RI i d W r-t�► Pf:Rf f'eCON/t <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned actclress), print out Address Letter from TRAKiT Print Menu and include) <br /> EYES—TYPE S Fie 0 See Attached Letter `7 <br /> 0N 4(5 /0- a/ /C <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />