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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/12/2015 <br /> Permit#: PW1508-018 <br /> PROJECT ADDRESS: 5901 HIGHWAY PL BLDG A&B <br /> DESCRIPTION OF WORK: SITE WORK FOR 2 NEW 9 UNIT MULTI-FAMILY BLDGS <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: KULAGA AHMET NAME: WELAYE MAHER <br /> ADDRESS: 1205 130TH ST SE ADDRESS: 15516 56TH AVE W <br /> EVERETT,WA, 98208 EDMONDS,WA, 98026 <br /> PHONE: PHONE: <br /> EMAIL: KULAGA A@HOTMAIL.COM EMAIL: MAHERWELAYE@GMAIL.COM <br /> CONTACT: . Owner ❑ Applicant ❑Other @ �q <br /> NAME: WELAYE MAHER s A ►f It E1> <br /> PHONE: <br /> EMAIL: MAHERWELAYE@GMAIL.COM A I �� 1--UrCAS <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: <br /> PW Permit Required? YES 0 NO LAND USE PROJECT#: &S°4 /5-406 <br /> Please provide explanation: W.O.#: <br /> (1, red Pert/r- Me EW77lfE 4-UN/r ''/TE , Associated Bldg./PW Permit#: 0/50$"--0/6 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> YES–Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development,Fees) <br /> WATER FEE? <br /> El YES–Amount$ 0 Meter Only, 0 Complete Terri 1 1 _ <br /> E❑ NO xplaanation: ext AI tm/iS ?OY b/I (thirty ?rlY - S`16U�r1 b>✓ iSSUEq — <br /> a 4 1_ of the, It 'I-EownhomEs11: <br /> dor each <br /> Existing Utility Permit#(if applicable): Hifi <br /> _ <br /> SEWER FEE? y - CO <br /> ❑YES–Amount$ 0 New Connection, 0 Alter <br /> 0N <br /> Explanation: (i\ nEw s>:wex Conn>✓citrn <br /> Existing Utility Permit#(if applicable): A////, q-q-162. <<> sy n �" <br /> c Im @ I ISsf n;e• <br /> SYSTEM DEVELOPMENT FEE? 'C4`�" ( W ` ' ' <br /> YES–Amount$t%)5S a. 0 See Attached Spreadshel !� <br /> ❑ NO–No Change of Use/Other Chau✓ -CFl�S For l of <br /> �rr q E lJg ung - dnik r — <br /> Explanation:l, $SFT®C0410 YI&S:�2) (-oWir BLDGS SFR ar it cnct .C!!€ �Y , <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if&p JII auIC/) �' `"`� -13 2 <br /> TRAFFIC MITIGATION FEE? <br /> EYES–Amount$ <br /> 6�� ' See Attached Spreadsheet <br /> ❑ No .. 1 : .r <br /> J/k/67910, ./114 (F/L S,os6 o-o 12-3/-2o/5 <br /> Public Works Reviewer Signature Date <br /> REVISED 12/16/2015 <br />