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• <br /> E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 1622 E MARINE VIEW DR BLDG H Permit#: B1812-033 <br /> TENANT: RIVERVIEW APTS <br /> DESCRIPTION OF WORK: NEW APT BLDG 3 STORY,2 UNIT,6 BAY GARAGE(#H,8 OF 9) <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br /> VgANITARY SEWER: (DOMESTIC WATER SERVICE: (Attach Calculation&Cost Est) <br /> ❑ New Connection to main plus connections to building 0 New Connection, Size - ❑ Per Cost Estimate <br /> ❑Alteration N1 Meter Only, Size I" -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 ❑Backflow Prevention (Outside Building): 0 RPBA orEI DCVA <br /> KNOT REQUIRED ❑ NOT REQUIRED <br /> �JExplanation/Utility Permit#: cat a... 61/2 a. a I qt 7'030 Explanation/Utility Permit#: U 1 c 1 )f -02-9 <br /> J IRRIGATION SERVICE: (Not Including Cost Estimates) ARE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size 0 New Connection, Size -❑ P9r Cost Estimate <br /> ❑ Meter Only, Size K3/4" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ Backflow Prevention (Outside Building): K DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA ❑NOT REQUIRED <br /> laNOT REQUIRED Explanation/Utility Permit#: tag0 roaY <br /> /Explanation/Utility Permit#: <br /> �/ WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑Yes, Quantity , See attached for reference. <br /> KNOT REQUIRED GA e4\ 64,1 S <br /> a 'Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> )Backflow Prevention (Inside Building): E DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> ❑ NOT REQUIRED - NOS- 06 <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> ,TORMWATER SYSTEM DEVELOPMENT FEES: �,�,,p VAFFIC MITIGATION FEES: <br /> EYES, Stormwater Total: $ '3°I9.°IZ ' I60Osf"�'�"6 $.YES,Traffic Mitigation Total:$ <br /> 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 Q,(,l or I*do Bidy <br /> ❑ See Attached Spreadsheet for calculations/credit <br /> ❑ NOT REQUIRED V3I2- 3 <br /> 8181Z-433 <br /> Additional Checklists: <br /> v'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 ❑ 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 Addre s F Ider in aYelo ment Tech File <br /> KNOT REQUIRED IAA Bl a" I O O)I <br /> ,4IRE SPRINKLERS REQUIRED? <br /> E(YES-Type Q a3 <br /> ❑ NOT REQUIRED <br /> Reason: FlItS volUBLIC WORKS PERMIT REQUIRED? <br /> OYES, Permit#PW 1809-oh( <br /> EZStormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT siInspections Added in TRAKiT <br /> ❑ NOT REQUIRED Worksheet Completed By: --kf-A- Date: 1I q 1 I <br /> Worksheet Checked By: Date: <br /> REVISED 4/24/2019 <br />