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0477- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/22/2018 <br /> Permit#: PW1802-036 <br /> PROJECT ADDRESS: 43J5 506. Pr SE (LOT 156) <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? YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C./ROY-0/Z _ <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 /> NI 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$ 5©0• t/�l ❑YES—Amount$ <br /> E(Meter Only, 0 Complete Service, Size '/I ❑%"Detect Meter Only, 0 Fire Service Size <br /> 0 N 14NO <br /> Explanation: Explanation: <br /> NI1 RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> OH 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 /> YES—Amount$ 70% Igt New Connection, ❑Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> »YES—Amount$ //y ?get. a See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: '20 92. JIT SPA 64E4^ aewF,t'' -1,add fa bid? P mt <br /> (Note:Pub ' Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) r` <br /> TRAFF MITIGATION FEE? <br /> Y. —Amount$ $5.7• 0 See Attached Spreadsheet <br /> t on ftrm4- 60-Pt <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print oIt A dies Letter from TRAKiT Print Menu and include) <br /> 'EYES—TYPE 8Fle- P�'See Attached Letter x2 --S 6) 1.0 J Eteriy /PQ/ <br /> ❑ NO <br /> PW Reviewer Date: /zz ,els, <br /> REVISED 10/11/2016 <br />