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• • <br /> PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 2325 TAYLOR DR Permit#: PW1807-017 <br /> TENANT: [TenName] <br /> DESCRIPTION OF WORK: SITE WORK FOR 2-LOT SHORT PLAT <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br /> SANITARY SEWER: DOMESTIC WATER SERVICE: (Not Including Cost Estimates) <br /> 131 New Connection KNew Connection, Size 3 <br /> ❑Alteration 0 Meter Only, Size <br /> ❑ Repair 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑Cap-off 0 NOT REQUIRED <br /> ❑ Reconnect Explanation/Utility Permit#: <br /> ❑ NOT REQUIRED <br /> Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Not Including Cost Estimates) <br /> ❑ New Connection, Size 0 New Connection, Size <br /> ❑ Meter Only, Size ❑3/4"Detect Meter Only, Service Size <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA 0 Backflow Prevention (Outside Building): 0 DCDA <br /> 151 NOT REQUIRED W.NOT REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑Yes, Quantity , See attached for reference. <br /> li4 NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> ❑Water Service Line(behind meter), Size <br /> ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> SNOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> ❑YES,Water: $ 0 YES, $ <br /> Sewer: $ 0 See Attached Sprgaeet for calcul t� credit <br /> ❑ See Attached Spr ad eet for calculations/credit NOT�Q REQUIRED r.'NJ q <br /> tai NOT REQUIRED /AAA bld MAW W ,Q, J <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES—TYPE <br /> ❑ See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> ❑ Digital copy attachejt <br /> mit record, Pe mi # <br /> 'NOT REQUIRED JAW <br /> a9 eam14- <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> KNOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> EYES, Permit#PW 1SkO' OIL <br /> ErStormwater NPDES Tab Completed in TRAKiT 18'ADA Tab Completed in TRAKiT VI(lnspections Added in TRAKiT <br /> ❑ NOT REQUIRED /f <br /> Worksheet Completed By:_ -1 O O1. .4Date: 1 8 <br /> Worksheet Checked By: 4/ We Date: &I [ it <br /> REVISED 8/6/2018 <br />