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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/3/2017. <br /> / ) ? Permit#: PW1707 O#6 <br /> PROJECT ADDRESS: 344Z 31th Dr LOT 4,249— - <br /> Ogg <br /> DESCRIPTION OF WORK: SITE WORK FOR NEW TOWNHOME <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: POLYGON WLH LLC NAME: PNW Riverfront LLC <br /> ADDRESS: 11624 SE 5TH ST ADDRESS: 11624 SE 5th Street#200 <br /> BELLEVUE,WA, 98005 BELLEVUE,WA,98005 <br /> PHONE: PHONE: 4255867700 <br /> EMAIL: EMAIL: nicka@polygonhomes.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.#: �r <br /> Notes: Associated Bldg./PW Permit#: t_ /601 " <br /> 075 <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 /> ArNO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: //����1 oV FIRE SERVICE: <br /> ❑YES—Amount$ 7"00 3/ r OYES—Amount$ <br /> Meter Only, 0 Complete Service, Size /4 ❑3/"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO ONO <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 /> ❑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? Op <br /> AYES—Amount$ 70^ 0 New Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect <br /> 0 N <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? 1'344 J161ES—Amount$ c977 0 See Attached Spreadsheet 1 3 4 4 <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? <br /> ❑YES—Amount$ 0 See Attached Spreadsheet <br /> ,II<l'NO <br /> ADDRESS LETTER REQUIRED? (f yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> A AYES—TYPE s/ /� XlSee Attached Letter <br /> 0 N <br /> PW Reviewer: Date: <br /> /1))-7( <br /> REVISED 10/11/2016 <br />