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E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />PROJECT ADDRESS: <br />TENANT: <br />AY <br />Permit #: B1804-011 <br />DESCRIPTION OF WORK: 124 UNIT STUDEN HOUSING OVER PARKING <br />PW Reviewer to select all that 1 below: <br />Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br />SANITARY SEWER_ <br />New Connection to ain plus sconnections to uilding <br />❑ Alteration Ca sfW� I`i4`g) <br />❑ Repair '1 / <br />❑ Cap -off, quan ' y <br />�Reconnectio to stub <br />❑ Backwater alve <br />❑ NOT REQ IRED <br />Explanation/ tility Permit #,-- <br />DOMESTIC WATER SERVICE: (Attach Calculation & Cost Es <br />WNew Connection, Size - ❑ Per Cost Estimate <br />❑ Meter Only, Size - ❑ Per Cost Estimate <br />%Water System Development Fee Total: $ IS 6 • 8 <br />19 Sewer System Development Fee Total: $ <br />❑ Water Service Line (behind meter), Size <br />❑ Backflow Prevention (Outside Building): ❑ RPBA r ❑ DCVA <br />❑ NOT REQUIRED <br />E�>*nation/ Utility Permit #: <br />IRRIGATION SERVIC . (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate /Request for Reference) <br />❑ New Connection, ize New Connection, Size �-1(PerCost Estimate <br />❑ Meter Only, Si AW' Detect Meter Only, Service Size <br />❑ Water Syste Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA <br />Backflow P vention (Outside Building): XDCVA ❑ NOT REQUIRED <br />❑ NOT RE IRED �i Explanation/ Utility Permit #: <br />Explanati / Utility Permit #: &4& !PX s&ry <br />an"I> lr vq <br />Wj4TER DEPARTMENT COST ESTIMATE NEEDED-(/fyes, PWReviewer to send cost estimate request to W terD p/artment) <br />Yes, Quantity `t� t�d for re�fe�a - C� �m� FOY 6rITI��SEt'V� �S 7� Js I��I/Ig� <br />❑NOT REQUIRED t� "t w� <br />Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) <br />XBackflow Prevention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) DCDA (for Fire service) <br />❑ NOT REQUIRED <br />Building Permits (Note: Permit Technicia s to add all items selected below to associated Building Permit) <br />STORMWATER SYSTEM DEVELOPMENT E S: TRAFFIC MITIGAT FEES: 00 <br />❑ YES, Stormwater Total: $ 14YES, Traffic ' igation Total: $ <br />❑ Roof Only Fee on Bldg ermit (ground hard surface fee on PW Permit) 'See ached for calculations / cre it <br />�AII Hard Surface Fees to be added to Permit # - ❑ NOT QUIREp L? $55� LOO r&r'k <br />❑ See Attached Spreadsheet for calculations / credit S <br />❑ NOT REQUIRED 56i 61 6 rES�l <br />Checklists: 10. i0 nEf <br />AD SS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and i clude <br />YE -TYPE: ❑ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY V(CO.MMERCIAL-- Cd <br />' kSee Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />igital copy attached to permit record, Permit # FWIS( 60q ^ ' <br />)Saved to Address Folder in Development Tech File L a�� <br />❑ NOT REQUIRED / <br />FIRE SPRINKLERS REQUIRED? ��rvi�'C�nk� <br />19YES -Type NPPA i3 <br />❑ NOT REQUIRED <br />Reason: ¢I t2E 0006 <br />PUBLIC WORKS PERMIT REQUIRED? <br />YES, Permit # PW I - Cog <br />CtStormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT 16 Inspections Added in TRAKiT <br />❑ NOT REQUIRED Worksheet Completed By: � ( ( � �` ��� Date: !// ® Zl &/ <br />Worksheet Checked By: Date: <br />REVISED 4/24/2019 <br />