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Asp <br /> PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 4604 31ST AVE SE Permit#: PW1901-046 <br /> TENANT: OVERLOOK AT RIVERFRONT C MI-oil <br /> DESCRIPTION OF WORK: NEW SFR-Lot 31 <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 /> 1XNew Connection to main plus I connections to building 0 New Connection, Si e -0 Per Cost Estimate <br /> ❑Alteration ET Meter Only, Size a pin -❑ Per Cost Estimate <br /> ❑ Repair ®Water System Development Fee Total: $ 3 5 . 0 <br /> ❑Cap-off, quantity IS Sewer System Development Fee Total: $ 2 . <br /> ❑ Reconnection to stub 0 Backflow Prevention (Outside Building): 0 PBA 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 0 New Connection, Size -0 Per Cost Estimate <br /> ❑Meter Only, Size ❑%" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ 0 Backflow Prevention(Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA Iif NOT REQUIRED <br /> ISNOT 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 /> FRI NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> 'Water Service Line(behind meter), Size - 7 <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 /> 'Er YES, Stormwater Total: $ 62'l. 0 YES,Traffic Mitigation Total: $ <br /> 0 See Attached Spreadsheet for calculations 0 See Attached Speadsh et for c culations/credit <br /> ❑ NOT REQUIRED � KNOT REQUIRED—4211 i PPJI7OS-Oq <br /> al1514 fafa� �615liiP,c. i56tfc� IsIX4 rte^ <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> [Fr YES—TYPE: ffi SFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> ErSee Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> LEt Digital copy attached to permit record, Permit# PiJ)I90/-c/6 <br /> ®Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> ig NOT REQUIRED <br /> Reason: FIRE &DE, (iJ(TF(IN 3501 or F� <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ''YES, Permit#PW I90i-0'16 <br /> Et NPDES Tab Completed in TRAKiT 'ADA Tab Completed in TRAKiT Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED /p <br /> Worksheet Completed By: Date: /-43 <br /> '�l 1 <br /> Worksheet Checked By: Date: <br /> REVISED 117/2019 <br />