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grr PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4521 31ST AVE SE Permit#: PW1812-027 <br /> TENANT: OVERLOOK AT RIVERFRONT a 131O_639 <br /> DESCRIPTION OF WORK: NEW SFR --Iser`C( <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 /> 18(New Connection 0 New Connection, Si4e <br /> 0 Alteration ilt Meter Only, Size 3f yn-- <br /> ❑ Repair ❑ Backflow Prevention(Outside Building): 0 RPBA or 0 DCVA <br /> ❑ Cap-off 0 NOT REQUIRED <br /> ❑ Reconnect Explanation/Utility Permit#: U131a-01,1 <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 0 3/4'Detect Meter Only, Service Size <br /> • Backflow Prevention (Outside Building): 0 DCVA ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> NOT REQUIRED , '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 /> in Yes,Quantity , See attached for reference. <br /> WNOT REQUIRED <br /> Plumbing Permits (Note:Permit Techni fans to add all items selected below to Plumbing Permit) <br /> Water Service Line(behind meter), Size <br /> � t� <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 /> SYSTEM <br /> *YES, DEe E $LOPMENT FEES: gOol✓� 1 , , <br /> rk <br /> 13 YES, <br /> MITIGATION FEES: <br /> YES,$ <br /> Sewer:$ W1157. ❑See Attached Spreadsheet for calculations/credit <br /> 0 See Attached Spreadsheet for calculations/credit KNOT REQUIRED 4I Qq illfat <br /> IDNOT REQUIRED ,r/.22. ciwi dol r <br /> Additional Checklists: V <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> It YES—TYPE SFi <br /> See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> Et Digital copy attached to permit record, Permit# PAPS/P-024 <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ▪YES—Type <br /> KNOT REQUIRED <br /> Reason: rIR � wlh. 36.101 of FII. <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> 'YES, Permit#PW I$IQ-024 <br /> 6<Stormwater NPDES Tab Completed in TRAKiT 1:KADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT <br /> ❑NOT REQUIRED �7,.,� <br /> Worksheet Completed By: Date: la�/io2, aolg <br /> Worksheet Checked By: Date: <br /> REVISED 8/6/2018 <br />