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41Err PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 10/27/2016 <br /> Permit#: PW1610-039 <br /> PROJECT ADDRESS: 7916 19TH DR SE LOT 60 <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#: <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> Et YES-Type 1 3 p (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: FIRE SERVICE: <br /> ❑YES–Amount$ 560 ❑YES–Amount$ <br /> Meter Only, 0 Complete Service, Size 1 0 3/" Detect Meter Only, 0 Fire Service Size <br /> 0 N 0 N <br /> Explanation: Explanation: <br /> ❑ RPBA Needed at prom ise?-(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? <br /> Oa <br /> NI YES–Amount$ 7o — , New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> —SYSTEM DEVELOPMENT FEE? (0faCr/ CZOn) <br /> 6]'YES–Amount$ 0 See Attached Spreadsheet 24 3 S <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? d <br /> ❑YES–Amount$ O� <br /> 0 See Attached Spreadsheet <br /> RNO Paid whew plat t` .corded <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> iK'YES–TYPE .5'Fk WSee Attached Letter <br /> 0 N /0 27-/(o <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />