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ii_. E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 8112 BEVERLY BLVD#A Permit#: B2006-019 <br /> TENANT: [TenName] <br /> DESCRIPTION OF WORK: 18'x30' POST-FRAME SHOP FOR STORAGE-540 SQ FT <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 connections to building 0 New Connection, Size -0 Per Cost Estimate <br /> ❑Alteration 0 Meter Only, Size -0 Per Cost Estimate <br /> ❑ Repair 0 Water System Development Fee Total:$ <br /> ❑ Cap-off,q ntity 0 Sewer Syste Development Fee Total: $ <br /> ❑ Reconne ion to stub 0 Water Se 'ce Line(behind meter), Size <br /> ❑ Backwa r Valve 0 Backflo revention (Outside Building): 0 RPBA or 0 DCVA <br /> :NOT QUIRED pt.NOT QUIRED <br /> Explan ion/Utility Permit#: Explan ion/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, Si e ❑3/4" Detect eter Only, Service Size <br /> ❑Water Syste Development Fee Total:$ 0 Backflo revention (Outside Building): 0 DCDA <br /> ❑ Backflow P vention (Outside Building): 0 DCVA %NOT QUIRED <br /> 1-NOT RE IRED Expla tion/Utility Permit#: <br /> Explanatio Utility Permit#: <br /> WATER DEPA MENT COST ESTIMATE NEEDED-(/f yes, PWReviewerto send cost estimate request to Water Department) <br /> ❑Yes, Quanti , See attached for reference. <br /> 84IOT REQ IRED <br /> Plumbing P rmits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ❑ Backflow Pr ention (Inside Bui ' g : 0 DCVA(for Domestic service) CIRPBA(for Domestic service) 0 DCDA(for Fire service) <br /> t NOT REQ RED <br /> rt <br /> Building Permits ote:Permit Technicians o add all items selected below to associated Building Permit) <br /> STORMWATER SYST M DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> , YES, Stormwater T tal: $ f�I3.91 0 YES,Tr is Mitigation Total: $ <br /> ,Roof Only Fee n Bldg Permit(ground hard urfot,s,keinffW Pe itb` 0 S e Attached for calculations/credit <br /> ❑All Hard Surfa Fees to be added to Per t# 0‘. 'NO EQUIRED <br /> ❑ See Attached readsheet for calculatio /credit <br /> ❑ NOT REQUIRED <br /> Additional Checklis : <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES—TYPE: 0 SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> ❑ See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> ❑ D' ital copy attached to permit record, Permit# <br /> ❑ aved to Address Folder in Development Tech File <br /> KNOT R UIRED <br /> FIRE SPRINKL RS REQUIRED? <br /> ❑YES—Typ <br /> ,(NOT RE RED <br /> Reason: <br /> PUBLIC WORKS P MIT REQUIRED? <br /> ❑YES, Permit#P <br /> CIStor ater NPDES Tab Completed in TRAKiT CI ADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT <br /> KNOT REQUI ED <br /> Worksheet Completed By: Date: JI 9/4-4.0 24) <br /> Worksheet Checked By: Date: <br /> REVISED 11/27/2019 <br />