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EVERETT PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 4607 RIVERFRONT BLVD -Lel o' Permit#: C1906-002 <br /> TENANT: OVERLOOK AT RIVERFRONT * "106--CM <br /> DESCRIPTION OF WORK: NEW SFR/2015 IRC-RB1811-001 <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: (Attach Calculation&Cost Est.) <br /> 12(New Connection to main plus I connections to building 0 New Connection,Side -0 Per Cost Estimate <br /> ❑Alteration 11Meter Only, Size 3M11 -0 Per Cost Estimate�= <br /> ❑ Repair EWater System Development Fee Total:$ 30957.1Y <br /> ❑ Cap-off,quantity i�[Sewer System Development Fee Total:$5� 12 .°J <br /> ❑ Reconnection to stub 0 Water Service Line(behind meter), Size <br /> ❑ Backwater Valve 0 Backflow Prevention(Outside Building): 0 RPBA or 0 DCVA <br /> ❑ NOT REQUIRED 0 NOT REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size _ ❑ New Connection, Size -0 Per Cost Estimate <br /> ❑ Meter Only, Size 0%"Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building): 0 DCDA <br /> ❑ Backflow Prevention(Outside Building): 0 DCVA SNOT REQUIRED <br /> to NOT REQUIRED Explanation/Utility Permit#: <br /> 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 /> IS NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ❑ Backflow Prevention(Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> ❑ NOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> EIYES, Stormwater Total: $ 6 Z.°s 0 YES,Traffic Mitigation Total:$ <br /> ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calc ations(credit <br /> MAII Hard Surface Fees to be added to Permit# CI906'OO2 NOT REQUIRED- I i eM .Q <br /> ❑ See Attached Spreadsheet for calculations/credit ft/A-4=-041S <br /> o NOT REQUIRED Inc/4 6I34 ) 12�6�iNP�> <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> 'OYES-TYPE: IS:SFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> Et See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> IS Digital copy attached to permit record, Permit# P tJ/9tfi6-034 <br /> 'Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type <br /> IS(NOT REQUIRED <br /> Reason: roze 1 � WITNIN 350 or Ft? <br /> ❑UBLIC WORKS PERMIT REQUIRED? <br /> L YES, Per it#PW/906-O f <br /> Stormwater NPDES Tab Corn•leted in TRAKiT 'ADA Tab Completed in TRAKiT 2 Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED 9 ' <br /> PBy: 61181 ue <br /> Worksheet Completed � � Date: <br /> Worksheet Checked By: Date: <br /> REVISED 4/24/2019 <br />