3001 OAKES AVE 2019-11-07 - Laserfiche WebLink

4". PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/8/2017 Permit#: B1709-011 PROJECT ADDRESS: 3001 OAKES AVE DESCRIPTION OF WORK: RESTORATIONS OF EXTG INTERIOR WALLS-CARNIGE HALL PH II CONTACT INFORMATION: OWNER: APPLICANT: NAME: SNOHOMISH CO PROP MGMT NAME: ALDER SANDRA ADDRESS: 3000 ROCKEFELLER AVE M/S 404 ADDRESS: EVERETT,WA, 98201 PHONE: PHONE: 4253178017 EMAIL: EMAIL: CONTACT: 0 Owner 0 Applicant ❑Other NAME: [ContactName] PHONE: [ContactPhone] EMAIL: [ContactEmail] COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required? 0 YES 0 NO W.O.#: Notes: Associated Bldg./PW Permit#: FIRE SPRINKLER REQUIRED?(by Fire Department/Code) ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) ❑ NO Explanation: (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: FIRE SERVICE: ❑YES—Amount$ ❑YES—Amount$ 0 Meter Only, 0 Complete Service, Size 0 3/" Detect Meter Only, 0 Fire Service Size NO -12eN10 Explanation: Explanation: ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? ❑YES—Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect )(NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? ❑YES—Amount$ 0 See Attached Spreadsheet pt NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑YES—Amount$ 0 See Attached Spreadsheet I NO DDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑YES—TYPE 0 See Attached Letter /[t'1O PW Reviewer: /V Date: l/V/M / 7 REVISED 10/11/2016 �`�-Y�