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PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 3014 46TH PL SE Permit#: PW1812-026 <br /> TENANT: OVERLOOK AT RIVERFRONT a 1'310—ON <br /> DESCRIPTION OF WORK: NEW SFR D <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 /> 6 New Connection 0 New Connection, Siie <br /> ❑Alteration B'Meter Only, Size 3 g I m <br /> ❑ Repair ❑ Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑Cap-off 0 NOT REQUIRED <br /> ❑ Reconnect Explanation/Utility Permit#: 013I12-0/3 <br /> o 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/a" Detect Meter Only, Service Size <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA ❑ Backflow Prevention(Outside Building): 0 DCDA <br /> "(NOT REQUIRED MINOT 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 /> KNOT REQUIRED <br /> Plumbing Permits (Note:Permit Tech icians to add all items selected below to Plumbing Permit) <br /> $(Water Service Line(behind meter),Size 3 ytm <br /> 0 Backflow Prevention (Inside Building): 0 CVA(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 DEVELOPMENT FEES. G° c 3i'�. TRAFFIC MITIGATION FEES: <br /> DYES,Water: $ Jf 1 9fr,7. 0 YES,$ <br /> Sewer: $ ��c -' 0 See Attached Spreadsheet for calculations credit <br /> 0 See Attached Spreadsheet for calculations/credit KNOT REQUIREDA� <br /> ❑ NOT REQUIRED ���00 AM • <br /> • <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> tit YES—TYPE SFR. <br /> t See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> fit Digital copy attached to permit record, Permit# PW1�1 -Qa6 <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> KNOT REQUIRED I <br /> Reason: F(RE Cot Gt1'�Y1 EN. <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> Et-YES, Permit#PW I8I'�—O (, <br /> 'Stormwater NPDES Tab Completed in TRAKiT 18CADA Tab Completed in TRAKiT 0 Inspections Added in TRAKIT <br /> ❑ NOT REQUIRED / <br /> i�9 <br /> Worksheet Completed By: % Date: �oC n,/�� oCc�rg <br /> Worksheet Checked By: Date: <br /> REVISED 8/6/2018 <br />