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- • • <br /> EVE R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 4615 RIVERFRONT BLVD_-.to*3 Permit#: C1908-004 <br /> TENANT: OVERLOOK AT RIVERFRONT 4p]A Id1Og_Q1g <br /> DESCRIPTION OF WORK: SFR BASIC/2015 IRC-RB1811-002 [ `^� <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 /> ' New Connection to main plus I connections to building ❑ New Connection, Size -❑ Per Cost Estimate <br /> ❑Alteration RMeter Only, Size 3/ij -0 Per Cost Estimate <br /> ❑ Repair El Water System Development Fee Total:$ 1j3 <br /> ❑ Cap-off, quantity Q 'Sewer System Development Fee Total:$ <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 0 New Connection, Size -0 Per Cost Estimate <br /> ❑ Meter Only, Size 0 W Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention(Outside Building): ❑ DCVA KNOT REQUIRED <br /> KNOT 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 /> '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 /> KNOT 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 /> EYES, Stormwater Total:$ 622.E 0 YES,Traffic Mitigation Total: $ <br /> ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for alculations/credit <br /> ❑All Hard Surface Fees to be added to Permit# (,,` 9(4—( KNOT REQUIRED... 1St <br /> ❑See Attached Spreadsheet for calculations/credit A Z <br /> CIr �'Q�NOT REQUIRED IgzB 4/41 P4 ON*Ni9 t2L ('W <br /> � �J (�) <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> YES—TYPE: 'SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> lf"See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> i 'Digital copy attached to permit record, Permit# Aorios--0I$ <br /> 'Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> fzNOT REQUIRED <br /> Reason: rigk- o , w4IN 3510' QF <br /> ❑UBLIC WORKS PERMIT REQUIRED? <br /> 'YES, Permit#PW%ga$-OI$ <br /> ErStormwater NPDES Ta Completed in TRAKiT DADA Tab Completed in TRAKiT Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: Date: 47/26/1 <br /> Worksheet Checked By: Date: <br /> REVISED 4/24/2019 <br />