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Home My WebLink AboutL_Affidavit_of_Mailing_LUA-21-000345_3CITY OF RENTON DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-PLANNING DIVISION AFFIDAVIT OF SERVICE BY MAILING On the 29th day of September,2021,I deposited in the mails of the United States,a sealed envelope containing Project acceptance documents.This information was sent to: Name Representing See Attached Agencies See Attached 300'Surrounding Property Owners CiteLsitive5„.....C(Signature of Sender): STATE OF WASHINGTON 61‘111T COUNTY OF KING I certify that I know or have satisfactory evidence that'iennifer Cisp os signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentione' in a instru ent. Dated: C Not y Public i for the State of Washington 11111 P R. Moylffi NNa aa,uq 1 /I O 1g22 QZ i i u 5 v N o ( E ) Nz..___. pUB\> q!PS[nt ei,M e fires: 4. hill I10F W FI: $- Project Name: PR21-000359 Aristo Healthcare Services IBHTF Project Number: LUA21-000345, ECF, CU-H Affidavit of Service by Mailing Agency Mailing SEPA Project Acceptance and Determination Issuance Mailing List(All docs unless specified) Dept.of Ecology Office of Archaeology&Historic Preservation WA State Dept.of Natural Resources Attn:Maria Sandercock Attn:Stephanie Jolivette Attn:SEPA Center PO Box 47703 PO Box 48343 P.O.Box 47000 Olympia,WA 98504 Olympia,WA 98504 1111 Washington St SE MARI461@ECY.WA.GOV SEPA@dahp.wa.gov Olympia,WA 98504 Email Only) Email Only) sepacenter@dnr.wa.gov Email Only) State Dept.of Ecology NW Regional Office *Dept.of Ecology Seattle Public Utilities-Jalaine Madura Attn:Meg Bommarito Environmental Review Section Attn:SEPA Responsible Official 3190 160th Avenue SE PO Box 47703 700 Fifth Avenue,Suite 4900 Bellevue,WA 98008 Olympia,WA 98504 PO Box 34018 separegister@ecy.wa.gov separegister@ecy.wa.gov Seattle,WA 98124 Email Only) sepaunit@ecy.wa.gov Jalaine.Madura@seattle.gov Email Only) Email Only) WDFW-Larry Fisher Muckleshoot Indian Tribe Fisheries Dept. Muckleshoot Cultural Resources Program 1775 12th Ave.NW Suite 201 Attn:Glen St.Amant or SEPA Reviewer Attn: Laura Murphy Issaquah,WA 98027 39015—172nd Avenue SE 39015 172nd Avenue SE Larry.Fisher@dfw.wa.gov Auburn,WA 98092 Auburn,WA 98092 Seoadesk@dfw.wa.gov glen.stamant@muckleshoot.nsn.us Laura.murphy@muckleshoot.nsn.us Email Only) Email Only) Email Only) Duwamish Tribal Office Puget Sound Clean Air Agency KC Dept.of Permitting&Environ.Review 4717 W Marginal Way SW Carole Cenci Attn:SEPA Section Seattle,WA 98106 SEPA@pscleanir.org 35030 SE Douglas St.#210 USPS Mail Only) Email Only) Snoqualmie,WA 98065 USPS Mail Only) US Army Corp.of Engineers KC Dept.of Permitting&Environmental Review Puget Sound Energy Seattle District Office Attn:SEPA Section Wendy Weiker,Community Svcs. Mgr. Attn:SEPA Reviewer 35030 SE Douglas St.#210 355 110th Ave NE PO Box C-3755 Snoqualmie,WA 98065 Mailstop EST 11W Seattle,WA 98124 NOA Only,USPS Mail Only) Bellevue,WA 98004 USPS Mail Only) NOA Only,USPS Mail Only) Project Acceptance Agencies Mailing List All Parties of Record below are included in the SEPA Project Acceptance mailings above by default WSDOT Northwest Region City of Newcastle Renton School District#403 Attn:Duffy McCollogh Attn:Steve Osguthorpe Facilities,Operations and Maintenance Center King Area Dev.Serv.,MS-240 Community Development Director Brantley Bain,Executive Director of Capital PO Box 330310 12835 Newcastle Way,Ste 200 Planning and Construction Seattle,WA 98133 Newcastle,WA 98056 7812 South 124th Street,Seattle WA 98178 McColID@wsdot.wa.gov steveo@newcastlewa.gov matthew.feldmever@rentonschools.us Email Only)Project specific as requested (Email Only) NOA Only,Email Only) Metro Transit KC Wastewater Treatment Division City of Kent John Greene-Senior Environ.Planner 201 S.Jackson ST,MS KSC-NR-050 Attn:Erin George,Current Planning Mgr. 201 South Jackson Street KSC-TR-0431 Seattle,WA 98104 220 Fourth Avenue South Seattle,WA 98104 katherine.fischer@kingcounty.gov Kent,WA 98032 jgreene@kingcountv.gov Email Only) egeorge@kentwa.gov Email Only)NOA Only,Email Only) City of Tukwila King County Transportation,Jim Ishimaru Puget Sound Energy Minnie Dhaliwal,Planning Supervisor King Street Center Wendy Weiker,Community Svcs.Mgr. 6200 Southcenter Blvd. 201 S Jackson St Rm 313 355 110th Ave NE Tukwila,WA 98188 Seattle,WA 98104 Mailstop EST 11W Minnie.Dhaliwal@TukwilaWA.gov Jim.lshimaru@kingcounty.gov Bellevue,WA 98004 Email Only) NOA Only,Email Only) NOA Only,USPS Mail Only) Puget Sound Energy Shoreline Substantial Development Permit—CERTIFIED MAIL Shoreline Exemptions/Shoreline Critical Areas Exemptions P.O.Box 97034 EST-11W smp@ecy.wa.gov smp@ecy.wa.gov MAR1461 @ECY.WA.GOV MARI461@ECY.WA.GOVBellevue,WA 98009-9734 Laura.murphv@muckleshoot.nsn.us Laura.murphv@muckleshoot.nsn.us andy.swayne@pse.com glen.stamant@muckleshoot.nsn.us glen.stamant@muckleshoot.nsn.us NOA Only,Email Only)Duwamish Tribal Office Duwamish Tribal Office 4' Code Compliance Office of Attorney General Dept.of Ecology Ecology Division NEW Mailing address:PO Box PO Box 40117 330316,Shoreline,WA 98133- Olympia,WA 98504 9716 Certified Mail) Certified Mail)Email only MAR1461@ECI.WA.GOV Affidavit of Service by Mailing Revised 08/31/21 1823059125 LUA21-000345 3806000040 LUA21-000345 3806000095 LUA21-000345 HAROLD'S AUTO REBUILD ALMANZA AMANDA LORENA ARISTO HEALTH RENTON LLC 124 RAINIER AVE S 105 S TOBIN ST 4500 9TH AVE NE RENTON WA 98055 RENTON WA 98057 SEATTLE WA 98105 3806000115 LUA21-000345 3806000015 LUA21-000345 1823059245 LUA21-000345 BARMAR LLC BULLANDAY ROBILINE+REX BURKHEIMER FAMILY LLC 25711 SE 208TH ST 125 S TOBIN ST PO BOX 3118 MAPLE VALLEY WA 98038 RENTON WA 98055 EDMONDS WA 98020 1823059131 LUA21-000345 3806000065 LUA21-000345 3806000045 LUA21-000345 CAR WASH ENTERPRISES INC FACILITIES&OPERATIONS CTR GUDMUNDSON NICOLE PO BOX 70527 OFFICE OF THE EXECUTIVE DIR 102 LAKE AVE S SEATTLE WA 98127 300 SW 7TH ST RENTON WA 98057 RENTON WA 98055 7229500064 LUA21-000345 7229300005 LUA21-000345 3806000105 LUA21-000345 HSUE KWAI-SHUNG INVESTMENT PROPERTY EXCHANG LITTLE LEON & MARY 7515 SE 71ST ST 6242 HAZELWOOD LANE SE 261 MAPLE AVE NW MERCER ISLAND WA 98040 BELLEVUE WA 98006 RENTON WA 98055 1823059227 LUA21-000345 3806000025 LUA21-000345 7229500061 LUA21-000345 MUSCARDIN SALVATORE PAGLIA ROSE ADELE PARAGON DENTAL ARTS LLC 5933 NE WIN SIVERS DR#102 117 S TOBIN ST 13009 NE 85TH ST PORTLAND OR 97220 RENTON WA 98057 KIRKLAND WA 98033 1 7229300015 LUA21-000345 3806000010 LUA21-000345 7229300020 LUA21-000345 1 ROANOKE GROUP THE TAPIA-AGUILAR SAMUEL TILLICUM STREET LLC 9505 ROOSEVELT WAY NE 129 S TOBIN ST 200 S ORCAS ST SEATTLE WA 98115 RENTON WA 98057 SEATTLE WA 98108 1823059077 LUA21-000345 0007200029 LUA21-000345 7229500063 LUA21-000345 TMJD INC TOBIN BUSINESS PARK LLC WILSON PETER H 110 RAINIER AVE S 4565 165TH AVE SE 24333 35TH AVE S RENTON WA 98057 BELLEVUE WA 98006 KENT WA 98032