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0477 1 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/22/2018 <br /> Permit#: PW1802-02.8 <br /> PROJECT ADDRESS: 422*RIVERFRONT BLVD (LOT 1$1 ) <br /> DESCRIPTION OF WORK: SITE WORK AND TRAFFIC MITIGATION FOR NEW SFR <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: POLYGON WLH LLC NAME: POLYGON WLH LLC <br /> ADDRESS: 11624 SE 5TH ST SUITE 100 ADDRESS: 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE,WA,98005 BELLEVUE,WA,98005 <br /> PHONE: 4255867700 PHONE: 4255867700 <br /> EMAIL: jamie.aubrey@gmail.com EMAIL: jamie.aubrey@gmail.com <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: PANT ALAN <br /> PHONE: 4255867700 <br /> EMAIL: ALAN.PANI@POLYGONHOMES.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?lYES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C/A(7a-4W <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> RINO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> 'YES—Amount$ 500.'21 t� 0 YES--Amount$ <br /> lEr Meter Only, 0 Complete Service, Size y ❑'/" Detect Meter Only, 0 Fire Service Size <br /> 0N VINO <br /> Explanation: Explanation: <br /> Nitn RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> Ohl 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 /> !AYES—Amount$ q e a New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> E YES—Amount$ 11 9$y, e 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other P f / <br /> Explanation: '2022-SF p &o Sl -'1 (w 4 cSew£t'' -Ntd� tob/Q9 p rmi) <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> , YES •q ount$ ;2,. f — 0 See Attached Spreadsheet ` <br /> ri O , .. O °l► ' /11' I I i t i <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned ad.ress), print out • gdre s Letter from TRAKiT Print Menu and include) <br /> EYES—TYPE 8PI.. DirSee Attached Letter X'Z —ser" C) -iv J Et f Pia* <br /> ❑ NO v'0 <br /> PW Reviewer: (?E <br /> Date: /a/u p <br /> REVISED 10/11/2016 <br />