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0 • <br /> im E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> mmi WASHINGTON <br /> PROJECT ADDRESS: 1622 E MARINE VIEW DR BLDG B Permit#: B1812-027 <br /> TENANT: RIVERVIEW APTS <br /> DESCRIPTION OF WORK: NEW APT BLDG 4,32 UNIT,4 STORY(#B-2 OF 9) <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for ,e ,Waer ire, and Irrigation, as selected below) <br /> 4ANITARY SEWER: OIVI `+ •C `/VV ER SERVICE: (Attach Calculation & Cost Est.) <br /> ❑ New Connection to main plus connections to building ❑ New Connection, Size -0 Per Cost Estimate <br /> ❑Alteration Er Meter Only, Size 21` -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 0 Water Service Line(behind meter), Size <br /> ❑ Backwater Valve 0 Backflow Prevention (Outside Building); CI RPBA or 0 DCV,A <br /> KNOT REQUIRED ll _ ❑ NOT REQUIRED Sys 4EV 1 wte - prjce�f- <br /> Explanation/Utility Permit#: 0Y\ �(J<k1 Explanation/Utility Permit#: e. ikfrit A cm, R$Ws(' ryn ' <br /> iA RIGATION SERVICE: (Not Including Cost Estimates) IARE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size 0 New Connection, Size - 0 Per Cost Estimate <br /> ❑ Meter Only, Size (S(3/4" Detect Meter Only,Service Size On <br /> ❑Water System Development Fee Total:$ ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA 0 NOT REQUIRED [ <br /> lit NOT REQUIRED Explanation/Utility Permit#: it,MO g-0a,1f <br /> Explanation/Utility Permit#: <br /> 'IVATER DEPARTMENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑Yes, Quantity , See attached for reference. <br /> E NOT REQUIRED ad L.n 45s <br /> ✓Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ISBackflow Prevention (Inside Building): Et DCVA(for Domestic service) 0 RPBA(for Domestic service) J31DCDA(for Fire service) <br /> ❑ NOT REQUIRED Qi -(DO -00 <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 /> IS YES, Stormwater Total: $ a,2 68. 1.1 -for 9,120sf area lialYES,Traffic Mitigation Total: $ 33 21.f .900 <br /> Vif Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calcu—lgt�i9,n <br /> , � /' s/crec(itw <br /> ❑All Hard Surface Fees to be added to Permit# 0 NOT REQUIRED q an <br /> ❑ See Attached Spreadsheet for calculations/credit <br /> ❑ NOT REQUIRED 81$12-02T B1g12—O2. <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 0 INFILL DWELLING ❑ 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 /> ❑ Digital copy attached to permit record, Permit# <br /> ❑ Saved to Address Folder in Develo ment Tec File <br /> 1ffi NOT REQUIRED --w 6LOC S—am r11809'011 <br /> .FIRE SPRINKLERS REQUIRED? <br /> 'YES—Type IS 12. <br /> ❑ NOT REQUIRED <br /> Reason: fiRe Cetg <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ✓TYES, Permit#PW 11509'OA— — <br /> tintormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT -Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED �A p <br /> Worksheet Completed By: %�� Date: 4 a�'l LCJI 1 <br /> Worksheet Checked By: Date: <br /> REVISED 4/24/2019 <br />