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_ • • <br /> EVERETT PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 3302 MCDOUGALL AVE Permit#: B1906-039 <br /> TENANT: SNO VALLEY PROCESSING <br /> DESCRIPTION OF WORK: CONSTRUCT 2340SF WAREHOUSE ADDITION <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 /> It Alteration 0 Meter Only, Size -0 Per Cost Estimate <br /> ❑ Repair 0 Water System Development Fee Total: $ <br /> ❑ Cap-off, quantity ❑Sewer System Development Fee Total: $ <br /> ❑ Reconnection to stub %Water Service Line(behind meter), Size IN" <br /> $ Backwater Valve 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ra NOT REQUIRED Y l f i , p�� 0 NOT REQUIRED A <br /> Explanation/Utility Permit#: t t 0" 1 ll// r� Explanation/Utility Permit#: i V1 \I 01 'OM <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size ❑ New Connection, Size - ❑ Per Cost Estimate <br /> ❑ Meter Only, Size ❑3/4" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA WNOT REQUIRED <br /> KNOT REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(lf 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 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 /> Vit,YES, Stormwater Total: $ gem, 3 64 YES,Traffic Mitigation Total:$ I)$Moo <br /> ❑ Roof Only Fee on Bldg Permit(grodnd hard surf cqs fee on PW Permit) 0 See Attached for calculations/credit <br /> girAll Hard Surface Fees to be added to Permit# rw NOT REQUIRED NF,w wIQEHCcus6 <br /> ❑ See Attached Spreadsheet for calculations/credit <br /> ❑ NOT REQUIRED 130 sF(NO CREpr1) <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: 0 SFR 0 DUPLEX 0 ADU ❑ INFILL DWELLING 0 MULTI-FAMILY COMMERCIAL <br /> la See Attached Letter,2 copies (Permit Techs to is ue one copy to pplicant with permits, scan one copy to Jeffrey Marks) <br /> Ig Digital copy attached to permit record, Permit# 00MA-03 'h ' 0 aa��� <br /> Ea Saved to Address Folder in Development Tech File "6 A� �'� Qn <br /> LI NOT REQUIRED '',, \\ Q (� <br /> FIRE SPRINKLERS REQUIRED? p �W , ��` � <br /> ❑YES—Type OJ <br /> *NOT REQUIRED <br /> Reason: figE eisC <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> (*YES, Permit#PW (45104-- 0 3 T <br /> 'Stormwater NPDES Tab Completed in TRAKiT EAADA Tab Completed in TRAKiT IX Inspections Added in TRAKiT <br /> 0 NOT REQUIRED <br /> p <br /> Worksheet Completed By: P Date: <br /> r <br /> Worksheet Checked By: �� Date: 9126 [ 1 <br /> REVISED 4/24/2019 <br />