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4677- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 10/27/2016 <br /> Permit#: PW1610-040 <br /> PROJECT ADDRESS: 7914 19TH DR SE LOT 61 <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? ® YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#:C 1606 " t 4S <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> Et YES—Type /3 .b (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> CI NO <br /> Explanation: Seep rocs dwok y <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> ,WATER FEES? <br /> DOMESTIC SERVICE: �a FIRE SERVICE: <br /> ❑YES—Amount$ 5 ,n ,� ❑YES—Amount$ <br /> tit Meter Only, 0 Complete Service, Size / 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO ❑ 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 /> 0 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? p� <br /> , 'YES—Amount$ 70 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? 1-716, - ....2.0 ) <br /> J81 YES—Amount$ 0 See Attached Spreadsheet 18l(0ril <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? 0 <br /> ❑YES—Amount$ 0D'' 0 See Attached Spreadsheet <br /> RNO Paid wheh PCaf recorded- <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> • YES—TYPE SFR 0 See Attached Letter <br /> ❑ NO <br /> B /D -a7-/L <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />