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Awk <br />VE R E T T WASHINGTON PUBLIC WORKS REVIEW WORKSHEET <br />PROJECT ADDRESS: 5306 EAST DR Permit #: C2003-010 <br />TENANT: [TenName] <br />DESCRIPTION OF WORK: NEW SFR WITH ATTACHED GARAGE <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 />SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) <br />-New Connection to main plus connections to building ❑ New Connection, Size - ❑ Per Cost Estimate <br />❑ Alteration IF�Meter Only, Size 9" usu- ❑ Per Cost Estimate <br />❑ Repair J&Water System Development Fee Total: $ �o?2 . aci <br />❑ Cap -off, quantity ItSewer System Development Fee Total: $ S, 2-70 . o0 <br />❑ Reconnection to stub ❑ Water Service Line (behind meter), Size <br />❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA <br />❑ NOT REQUIRED Vt� i ,�'�� ❑ NOT REQUIRED ' A <br />Explanation/ Utility Permit #: 1 Explanation/ Utility Permit #: vt 24A P-00 <br />IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate /Request for Reference) <br />❑ New Connection, Size ❑ New Connection, Size - ❑ Per Cost Estimate <br />❑ Meter Only, Size ❑ %" Detect Meter Only, Service Size <br />❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA <br />❑ Backflow Prevention (Outside Building): ❑ DCVA NOT REQUIRED <br />KNOT REQUIRED Explanation/ Utility Permit #: <br />Explanation/ Utility Permit #: <br />WATER DEPARTMENT COST ESTIMATE NEEDED-(/fyes, PW Reviewer to send cost estimate request to Water Department) <br />❑ Yes, Quantity See attached for reference. <br />NOT REQUIRED <br />Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) <br />❑ Backflow Prevention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) <br />R'NOT REQUIRED <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 />YES, Stormwater Total: $ & 40. DO YES, Traffic Mitigation Total: <br />❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ See Attached for calculations / credit <br />AAII Hard Surface Fees to be added to Permit # ❑ NOT REQUIRED <br />,.See Attached Spreadsheet for calculations / credit <br />❑ NOT REQUIRED <br />Additional Checklists; <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) <br />)OYES - ,YPE: SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />,n 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 # -Pv.iZolo. a2 S <br />J'Saved to Address Folder in Development Tech File <br />' ❑ NOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />Fi6(ES -Type (3 D <br />❑ NOT REQUIRED <br />Reason: <br />PkPUBLIC WORKS PERMIT REQUIRED? <br />YES, Permit #PW Sc- ro- p25- <br />I$4tormwater NPDES Tab Completed in TRAKiT dADA Tab Completed in TRAKiT 06-inspections Added in TRAKiT <br />❑ NOT REQUIRED <br />Worksheet Completed B.; Date: j0�2- /'LaLo <br />Worksheet Checked By: Date: <br />REVISED 1112712019 <br />