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E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />PROJECT ADDRESS: 1622 E MARINE VIEW DR BLDG A Permit #: 131812-026 <br />TENANT: RIVERVIEW APTS <br />DESCRIPTION OF WORK: NEW APT BLDG, 4 STORY, 32 UNIT (#A-1 OF 9) <br />Utility Permits (Note: Permit Technicians to Create Utility Permit for S e f�Wate ire, and Irriga i n, as selected below) <br />SNITARY SEWER:M <br />SQTIC A R SERVICE: Attach Calculation & Cost Est. ) <br />(] New Connection to main plus connections to building <br />❑ New Connection, Size - ❑ Per Cost Estimate <br />❑ Alteration <br />X Meter Only, Size - ❑ Per Cost Estimate <br />❑ Repair <br />_!_ <br />❑ Water System Development Fee Total: $ <br />❑ Cap -off, quantity <br />❑ Sewer System Development Fee Total: $ <br />❑ Reconnection to stub <br />❑ Water Service Line (behind meter), Size <br />❑ Backwater Valve <br />❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA <br />14NOT REQUIRED Q <br />Explanation/ Utility Permit #: (.�,IA (�1j Giq T U, t qp C `d 30 <br />❑ NOT REQUIRED <br />Explanation/ Utility Permit #: S S 4y -k <br />IRRIGATION SERVICE: (Not Including Cost Estimates) <br />FIRE SERVICE: (Attach Cost stimate/RequesttffoorrRRe ere <br />❑ New Connection, Size <br />❑ New Connection, Size - ❑ Per Cost Estimate <br />❑ Meter Only, Size <br />X%" Detect Meter Only, Service Size Vol <br />❑ Water System Development Fee Total: $ <br />❑ Backflow Prevention (Outside Building): ❑ DCDA <br />❑ Backflow Prevention (Outside Building): ❑ DCVA <br />❑ NOT REQUIRED C <br />-6-255 <br />�i <br />10NOT REQUIRED <br />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 />K NOT REQUIRED el), p.n RlAn <br />Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) <br />gBackflow Prevention (Inside Building): Iffi DCVA (for Domestic service) ❑ RPBA (for Domestic service) WDCDA (for Fire service) <br />❑ NOT REQUIRED -p (-Go D ,Ob S' <br />Building Permits (Note: Permit Technicians to add all items selected below to associated f2Li2g Permit) , <br />TORMWATER SYSTEM DEVELOPMENT FEES: ✓TRsAFFIC MITIGATION FEES: <br />YES, Stormwater Total: $_ a , a69. 3 A 91,/10 s'F reaf wya. 14 YES, Traffic Mitigation Total: $33;111, °O <br />It Roof Only Fee on Bldg rmit (ground hard surfaces fee on PW Permit) ❑ See Attached for , --^alit <br />❑ All Hard Surface Fees to be added to Permit # 'NOT REQUIRED- <br />❑ See Attached Spreadsheet for calculations / credit 1 <br />❑ NOT REQUIRED 131,312-OU 81811-026 ?as <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 ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />❑ See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />❑ Digital copy attached to permit record, Permit # <br />❑ Saved to Address Fol er in Development Tech File <br />P(NOTREQUIRED LUq� 61a9s, on {wiso9-01i <br />'FIRE SPRINKLERS REQUIRED? <br />0 YES —Type 1 IL <br />❑ NOT REQUIRED <br />Reason:r1KC- C9'DG <br />14YES, Permit #PWI%09-019 <br />If Stormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT Mnspections Added in TRAKiT <br />❑ NOT REQUIRED <br />Worksheet Completed By: _ Date: O La-z4gig <br />Worksheet Checked By: Date: <br />REVISED 412412019 <br />