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E VE R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> iii WASHINGTON <br /> PROJECT ADDRESS: 1622 E MARINE VIEW DR BLDG D Permit#: B1812-029 <br /> TENANT: RIVERVIEW APTS <br /> DESCRIPTION OF WORK: NEW APT BLDG,3 STORY, 2 UNIT W/6 BAY GARAGE(#D,4 OF 9) <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for Se�� ter,Fire, and Irrigation, as selected below) <br /> SANITARY SEWER: �6OM S C WATER SERVICE: (Attach Calculation&Cost Est.) <br /> ❑ New Connection to main plus connections to building 0 New Connection, Size -❑ Per Cost Estimate <br /> ❑Alteration TEt Meter Only, Size 1" - 0 Per Cost Estimate <br /> ❑ Repair ❑Water System Development Fee Total: $ <br /> ❑ Cap-off, quantity ❑Sewer System Development Fee Total:$ <br /> ❑ Reconnection to stub ❑Water Service Line(behind meter), Size <br /> ❑ Backwater Valve 0 Backflow Prevention (Outside Building): ❑ RPBA or❑ QCVA <br /> NOT REQUIRED 0 NOT REQUIRED sys atAI E r Whov- prep <br /> Explanation/Utility Permit#: p,I�. cox : •• 3 tl(go7ro3o Explanation/Utility Permit#: Cafkliftl CNN 3 A)tr emus-. <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) VPRRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size 0 New Connection, Size -0 Per Cost Estimate <br /> ❑ Meter Only, Size IR(3/4" Detect Meter Only, Service Size as <br /> ❑Water System Development Fee Total: $ 0 Backflow Prevention (Outside Building): 0 DCDA <br /> ✓ 0 Backflow Prevention (Outside Building): 0 DCVA 0 NOT REQUIRED <br /> KNOT REQUIRED Explanation/Utility Permit#: (4OV'T1 <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 /> ig NOT REQUIRED olt or 641,5 S <br /> v- Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> Backflow Prevention (Inside Building): 111(DCVA(for Domestic service) 0 RPBA(for Domestic service) 'g(DCDA(for Fire service) <br /> ❑ NOT REQUIRED Pr9Bg•DO g <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> /TORMWATER SYSTEM DEVELOPMENT FEES: VRAFFIC MITIGATION FEES: <br /> IS(YES, Stormwater Total: $ 394.9 -41-16OOsF of rtroF WA, EYES,Traffic Mitigation Total:$ al/081.92. <br /> uf Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit <br /> ❑All Hard Surface Fees to be added to Permit# ❑ NOT REQUIRED cat e,47114- a.n OJT <br /> ❑ See Attached Spreadsheet for calculations/credit <br /> ❑ NOT REQUIRED (31812-0151 131317-019 <br /> Additional Checklists: <br /> LDDRESS 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 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 Address Folder in Development Tech File <br /> NOT REQUIRED 0,,14‘ gL 3J cr M1'309-014 <br /> IRE SPRINKLERS REQUIRED? <br /> , YES-Type I3 IL, <br /> ❑ NOT REQUIRED <br /> Reason: (01RE CebDE <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> 14YES, Permit#PW I$09-OI <br /> Stormwater NPDES Tab Completed in TRAKiT 1'ADA Tab Completed in TRAKiT 'Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED / <br /> Worksheet Completed By: '/ V—� Date: OJ <br /> l <br /> (201 <br /> Worksheet Checked By: Date: <br /> REVISED 4/24/2019 <br />