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• <br /> "1"-Ag PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 2226 RAINIER AVE Permit#: CW1805-003 <br /> TENANT: [TenName] <br /> DESCRIPTION OF WORK: CONVERT GARAGE INTO DADU <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 />" 'U SANITARY SEWER: DOMESTIC WATER SERVICE: <br /> pl New Connection 0 New Connection, Size <br /> `f l Alteration 0 Meter Only, Size <br /> ��jj Repair 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑Cap-off ,/KNOT REQUIRED <br /> ❑ Reconnect Explanation/Utility Permit#: <br /> ❑ NOT REQUIRED <br /> Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: FIRE SERVICE: <br /> ❑ New Connection, Size 0 New Connection, Size <br /> ❑ Meter Only, Size ❑' " Detect Meter Only, Service Size <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA 0 Backflow Prevention (Outside Building): 0 DCDA <br /> ' NOT REQUIRED It NOT REQUIRED <br /> Explanation/Utility Permit#: 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 /> O *NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> Water Service Line(behind meter), Size 3 <br /> !1 <br /> ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> ❑ NOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> „/SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> AYES,Water:$ 9q0 . o0 tJC J 17 U 0 YES, $ <br /> Sewer: $ I 0 See Attached Spreadsheet for calculations/credit <br /> 0 See Attached Spreadsheet for calculations/credit NOT REQUIRED <br /> ❑ NOT REQUIRED <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> EYES—TYPE `DA--DO <br /> JR See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> ter Digital copy attached to permit record, Permit# 0c)3- al ro <br /> ❑ NOT REQUIRED <br /> ✓ FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> id NOT REQUIRED <br /> Reason: f icz- . e-cvE. <br /> „,, UBLIC WORKS PERMIT REQUIRED? <br /> E1 YES, Permit#PW I Bat-010 I 'Stormwater Tab Completed in TRAKiT 41 ADA Tab Completed in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: c..X Date: A/-71j <br /> Worksheet Checked By: Ant Date: ?/ 71c4 <br /> REVISED 8/6/2018 <br />