7515 BROADWAY 2017-06-09 - Laserfiche WebLink

PUBLIC WORKS -Pw 0? _ D3 REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/16/2016 Permit#: C1602-012 PROJECT ADDRESS: 7515 BROADWAY DESCRIPTION OF WORK: NEW SFR- RESIDENTIAL BASIC RB1602-001 -ADAIR PLAN 1713 CONTACT INFORMATION: OWNER: APPLICANT: NAME: ADAIR ENTERPRISES LLC NAME: ADAIR ENTERPRISES LLC ADDRESS: 17032 35TH AVE SE ADDRESS: 17032 35TH AVE SE BOTHELL, WA, 98012 BOTHELL,WA, 98012 PHONE: 4257431718 PHONE: 4257431718 EMAIL: EMAIL: CONTACT: ❑ Owner ❑ Applicant ❑Other NAME: LESSLEY LYN PHONE: 4257431718 EMAIL: adairenterprises1@gmail.com COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT M SP1202--2012 - 003 PW Permit Required? ,$(YES ❑ NO W.O. #: Notes: Associated Bldg./PW Permit#: C 16012 _ 0/2- FIRE SPRINKLER REQUIRED? (by Fire Department/Code) ❑ YES-Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) AVO Explanation: (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEE? ❑ YES-Amount AMeter Only, ❑ Complete Service, Type/Size DOM ❑ NO /_ / Explanation: c?S`f C Soh/iiCP /i'/STa1(4 c6yele>p�r' Existing Utility Permit# (if applicable): SEWER FEE? t)0 (YES-Amount$_ 70 — ,<New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: 60I/k?- Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? 04 RYES-Amount$ ❑ See Attached adshee Z Z ❑ NO-No Change of Use/Ot L Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑ YES-Amount$ ❑ See Attached Spreadsheet X.NO Pot cj Lc)1,shok- Pta f ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) YES-TYPE S %= See Attached Letter ❑ NO Public Works Reviewer Signature Date REVISED 1/5/2016