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477 PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 3016 46TH PL SE Permit#: PW1812-025 <br /> TENANT: OVERLOOK AT RIVERFRONT r p <br /> DESCRIPTION OF WORK: NEW SFR- 3-1- <br /> �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 /> 'gNew Connection 0 New Connection, Si;e <br /> ❑Alteration kt Meter Only, Size 3/471-- <br /> ❑ Repair ❑ Backflow Prevention(Outside Building): 0 RPBA or 0 DCVA <br /> ❑ Cap-off 0 NOT REQUIRED <br /> ❑ Reconnect Explanation/Utility Permit#: 0/3/R-0/02 <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/" Detect Meter Only, Service Size <br /> ❑ Backflow Prevention(Outside Building): 0 DCVA ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> igNOT 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 /> ❑Yes, Quantity , See attached for reference. <br /> "SNOT REQUIRED <br /> Plumbing Permits (Note:Permit Techn'cians to add all items selected below to Plumbing Permit) <br /> rr <br /> T"Water Service Line(behind meter), Size 3 y <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 DEVELOPMENT FEES: oQ TRAFFIC MITIGATION FEES: <br /> (YES, Water: $ i►� 'j6 �oC T1,11 � 0 YES, $ <br /> Sewer: $ -I t r T oc 0%41--J 0 See Attache Spreadsheet for,calculations/ redit <br /> 0 See Attached Spreadsheet for calculations/credit 12(NOT REQUIRED ��„ f 19 <br /> ❑ NOT REQUIRED 4 Z>� t- �. <br /> (022, <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> RYES—TYPE SFR— <br /> $tSee Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> Lir Digital copy attached to permit record, Permit# PW 1812-o 5 <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—TypeNOT <br /> REQUIRED , I35010FReasonF1't Coati W <br /> PUBLIC WORKS PERMIT f r�tl <br /> REQUIRED? <br /> 'YES, Permit#PW J$l Q—O2 <br /> "Stormwater NPDES Tab Completed in TRAKiT lidADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED ,.y� rI <br /> Worksheet Completed By: Al/6W O_ Date: lot �a2 aOif$ <br /> Worksheet Checked By: Date: <br /> REVISED 8/6/2018 <br />