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• <br /> E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> Elm WASHINGTON <br /> PROJECT ADDRESS: 1622 E MARINE VIEW DR BLDG C Permit#: B1812-028 <br /> TENANT: RIVERVIEW APTS <br /> DESCRIPTION OF WORK: NEW APT BLDG,3 STORY,2 UNIT W/6 BAY GARAGE(#C,3 OF 9) <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for S wer, Waatee, Fire, and Irrigation, as selected below) <br /> 00 <br /> 4ANITARY SEWER: ESTI 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 Meter Only, Size I" -0 Per Cost Estimate <br /> ❑ Repair 0 Water System Development Fee Total:$ <br /> ❑ Cap-off, quantity 0 Sewer System Development Fee Total: $ <br /> ❑ Reconnection to stub 0 Water Service Line(behind meter), Size <br /> ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): RPBA or 0 DCVA <br /> $NOT REQUIRED 0 NOT REQUIRED 6\f3 EV-fen-Made frrdEtk <br /> Explanation/Utility Permit#: QQ perk N S u(go7 o Explanation/Utility Permit#: 60#1,0 A a& saws-ems,* <br /> 1.1 140$'002 <br /> /IRRIGATION SERVICE: (Not Including Cost Estimates) AFIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size 0 New Connection, Size - 0 Per Cost Estimate <br /> ❑ Meter Only, Size 54 3/4" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ 0 Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA ❑ NOT REQUIRED <br /> NOT REQUIRED 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 /> 10 NOT REQUIRED a cmds <br /> p/Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> Backflow Prevention (Inside Building): M DCVA(for Domestic service) 0 RPBA(for Domestic service) IS DCDA(for Fire service) <br /> ❑ NOT REQUIRED pileF-00 <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building"ITORMWATER SYSTEM DEVELOPMENT FEES: RAFFIC MITIGATION FEES: <br /> tti YES, Stormwater Total: $ 393-,°l2 _Far 600sF reco.f � )S(YES,Traffic Mitigation Total: $ o? d�I,00 <br /> 'Et Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credi <br /> ❑All Hard Surface Fees to be added to Permit# 0 NOT REQUIRED etc. <br /> ❑ See Attached Spreadsheet for calculations/credit <br /> ❑ NOT REQUIRED 64311'02S Gt1$!2_o2 <br /> Additional Checklists: I <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> p YES—TYPE: 0 SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> ❑ See Attached Letter, 2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> ❑ Digital copy attached to permit record, Permit# <br /> ❑ Saved to Add ess Folder in Development Tech File <br /> -1$NOT REQUIRED—with. SLAG S-on 12I,0Igoq-ot1 <br /> V4IRE SPRINKLERS REQUIRED? <br /> ViYES—Type N " d 3 <br /> ❑ NOT REQUI Er <br /> Reason: FIRE eztE <br /> I/PUBLIC WORKS PERMIT REQUIRED? <br /> EYES, Permit#PW l O9-OI4 <br /> 'Stormwater NPDES Tab Completed in TRAKiT ISI;ADA Tab Completed in TRAKiT JeInspections Added in TRAKiT <br /> ❑ NOT REQUIRED gig,019Worksheet Completed By: ,1U CiA Date: C o(n1 <br /> Worksheet Checked By: Date: <br /> REVISED 4/24/2019 <br />