Laserfiche WebLink
F aid ea <br /> • <br /> #411; PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 1/28/2016 <br /> Permit#: C1601-015 <br /> PROJECT ADDRESS: '752/ BROADWAY <br /> DESCRIPTION OF WORK: NEW SFR RB1601-001 -ADAIR PLAN1999 <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: ADAIR ENTERPRISES LLC NAME: ADAIR ENTERPRISES LLC <br /> ADDRESS: 17032 35TH AVE SE ADDRESS: 17032 35TH AVE SE <br /> BOTHELL,WA, 98012 BOTHELL, WA, 98012 <br /> PHONE: 4257431718 PHONE: 4257431718 <br /> EMAIL: ) EMAIL: <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: LESSLEY LYN <br /> PHONE: 4257431718 <br /> EMAIL: adairenterprisesl@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: SS /202-202 -003 <br /> PW Permit Required? X YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <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 /> ❑YES—Amount$ 4&O ,Meter Only, 0 Complete Service,Type/Size 4 Oce <br /> • NO 1 �f <br /> Explanation: D' 7L Of' �$e'h(✓/Ce //IS�a1'.d c�rFvt' �aUc'.r" <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? Do <br /> AYES—Amount$ /o , New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO / i <br /> Explanation: Ccs VQ rS Cope17(i8 h TD Apure <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> rYES—Amount$ 0 See Attached Spreadsheet Size. C-( /ct)Se. ? <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 /> 0 YES—Amount$ 0 See Attached Spreadsheet <br /> )8(NO f ,d t't/S17or'f/L4•1' <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ,'fel YES—TYPE .S i--iZ See Attached Letter <br /> ❑ NO <br /> 2 I5'-/.6 <br /> Public Works Reviewer Signature Date <br /> REVISED 1/5/2016 <br />