2219 OAKES AVE 2016-08-25 - Laserfiche WebLink

� PUBLIC WORKS � �� REVIEI9V WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 1/12/2016 Permit #: CW1601-003 PROJECT ADDRESS: DESCRIPTION OF WORK: 2219 OAKES AVE FIRE DAMAGE RENOVATION CONTACT INFORMATION: cawN�e�: NAME: ADE SHARON D ADDRES�: 803 7TH ST MUKILTEO, WA, 98275-1938 PNONE: EMAIL: CONTAC?`: � Owner 0 Applicant ❑Other NAME: [eontactName] PHONE: [ContactPhone] EMAIL: [ContactEmail] APPLICANT: NAME: ADDRESS: PHONE EMAIL: ,.� � � � r� .,�� � �� ,�� BORSETH TODD 4253591034 TODDBORSETH@GMAIL.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT #: PW Permit Required? ❑ YES �NO W.O. #: Notes: , �" �,� �� ,��+I ��.�� r�, �_ , Associated Bldg./PW Permit #: j�l �; r�� avr� , FIRE SPRINKLER REQ RED? ❑ YES —Type ❑ NO Explanation: (Note: Counter Staff to Create WATER FEE? ❑ YES — Amount $ ❑ NO Explanation: (If yes, add to TRAKiT under Reviewer Com Permit for any Water/Sewer/Sysfem Developme Fees) _ ❑ Meter Only, ❑ Complete Service, pe/Size_ Existing Utility Permit # (if applicable): SEWER FEE? ❑ YES — Amount $ ❑ N Connection, ❑ 0 NO Explanation: on Bldg Permit and Stamp Drawings) n/Repair, ❑ Cap-off/Reconnect Existing Utility Permit # (if applicable): SYSTEM DEVELOPMENTFEE? ❑ YES — Amount $ ❑ See Att ed preadsheet ❑ NO — No Change of Use / Other Explanation: (Note: Public Works Reviewer to Add Traffic itigation to PW Permit applicable)) TRAFFIC MITIGATION FEE? ❑ YES — Amount $ ❑ See Attached Spreadsheet ❑ NO ADDRESS LETTER REQUIRED? ❑ YES — TYPE ❑ NO , yes (new assigned address), print out � See Attached Letter Reviewer Sipnature s Letter from TRAKiT Print Menu and include) � � �_ Date