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477PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/22/2018 <br /> Permit#: PW1802-3Z <br /> PROJECT ADDRESS: 4331 RIVERFRONT BLVD (LOT 10) <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: PANI ALAN <br /> PHONE: 4255867700 <br /> EMAIL: ALAN.PANI@POLYGONHOMES.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?tglYES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C,/gO/-00. - <br /> FIRE <br /> -00. -FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 0 YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> RI 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 /> NYES—Amount$ 500. �J 0 YES—Amount$ <br /> 'Meter Only, 0 Complete Service, Size Witt 0%" Detect Meter Only, 0 Fire Service Size <br /> 0 N 14NO <br /> Explanation: Explanation: <br /> Nik1RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> /AI 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 /> DI YES—Amount$ ,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 /> EI YES—Amount$ illq$ eo y. ❑ See Attached Spreadsheet <br /> ❑ NO—No Change of se//Other <br /> Explanation: 2.ozz&I" Jrezo s& -?! CGUdEC 4 & w&- - Add fa bid? P -mt) <br /> ( ote:Public .rks Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> T- •FFIC ITIGATION FEE?- <br /> Et " Amount$ ; °-S ❑ .-_ Attached Spreadsheet <br /> ❑ ► 0 - on R(.) •- Inn- W'VAN, <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print t AVCIO <br /> ress Letter from TRAKiT Print Menu and include) <br /> 'EYES—TYPE SFIZ N'See Attached Letter X 2 ,scan,. C) -ia J E;�� y /Pa* <br /> CI v' <br /> PW Reviewer ....) Date: /zaz88, <br /> v <br /> REVISED 10/11/2016 <br />