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0477 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 4/14/2016 <br /> Permit#: C16014-051 <br /> PROJECT ADDRESS: 51.131ST DR <br /> DESCRIPTION OF WORK: NEW TOWNHOME LOT ILII BLDG 15 <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: EMAIL: <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? tZ YES 0 NO W.O.#: P <br /> Notes: Associated Bldg./PW Permit#: 18 "-or9 <br /> 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 /> )(NO a <br /> Explanation: 1£ 1.n_ <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> �d YES—Amount$ 500.°=' ❑YES—Amount$ <br /> Meter Only, 0 Complete Service, Size 9/1111 0%"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO EC NO <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 /> tAe3 Water Department Cost Estimate Needed-(if yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> EYES—Amount$ 70,00 I 'New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> lat YES—Amount$ 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: f3/ /A // � L/'i/a.L <br /> E.c 41 SEGS) <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 /> (NO Afrurt <br /> pia <br /> fnprdi <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> EYES—TYPE V1W/VlitOi71E '<See Attached Letterx ISCOJI. Out 10 Jerald Mars <br /> o NO `citl& OarF.adi cclitc6I 10 PIO perm1't"-/106°PY <br /> PW Reviewer: / I / ( / Date: <br /> j; ha, / 3 32015 <br /> REVISED 10/11/2016 <br />