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A& <br />Ah <br />EVERETTI" <br />MF <br />WPUBLIC WORKS REVIEW WORKSHEET <br />ASHINGTON <br />PROJECT ADDRESS: 10306 27TH DR SE Permit #: C1812-004 <br />TENANT: [TenName] <br />DESCRIPTION OF WORK: NEW (4) BED (3) BATH SFR WITH GARAGE <br />PW Reviewer to select all that apply below: <br />Utility Permits (Note: Pen -nit 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 />P New Connection to main plus _connections to building KNew Connection, Size !1. 1000fa Per Cost Estimate <br />❑ Alteration ❑ Meter Only, Size - ❑ Per Cost Estimate <br />❑ Repair JIdJ Ig Water System Development Fee Total: $_ rC�s ` cem <br />❑ Cap -off, quantity Q Sewer System Development Fee Total: $_— <br />❑ Reconnection to stub CS'}� 1 ❑ Water Service Line (behind meter), Size f <br />❑ Backwater Valve % ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA <br />❑ NOT REQUIRED 1 , n ❑ NOT REQUIRED <br />Explanation/ Utility Permit #: i/�i-1� ' Explanation/ Utility Permi <br />IRRIGATION SER E: (Not Including Cost Estimates) FIRE SERVICE: (A ch Cost Estimate /Request for Reference) <br />❑ New Connecti n, Size ❑ New Connec ' n, Size - ❑ Per Cost Estimate <br />❑ Meter Only, ize ❑ 3/4" Detect eter Only, Service Size <br />❑ Water Sy em Development Fee Total: $ ❑ Backflo Prevention (Outside Building): ❑ DCDA <br />❑ Backfl Prevention (Outside Building): ❑ DCVA P'NOT EQUIRED <br />NOT EQUIRED Expl ation/ Utility Permit #: <br />xpl ation/ Utility Permit #: <br />WATER DEPARTMENT OST ESTIMATE NEEDED-(/fyes, PWReviewerto send cost estimate request to Water Department) <br />❑ Yes, Quantity See attached for reference. <br />NOT REQUIR <br />Plumbing Permit ote: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) <br />❑ Backflow Preve on (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) <br />Cp NOT REQUI D <br />Building Permits (Note: Permit nicians to add all items selected below to associated Building Permit) <br />STORMWATER SYSTEM DEV PMENT FEES: TRAFFIC MITIG N FEES: <br />® YES, Stormwater Tie <br />�al:��D, k Z � YES, Traffiitigation Total: $ �-/ 4010 <br />tS Roof Only Feeermit (ground hard surfaces fee on PW Permit) ❑See tached for calculations / cry <br />Lit" All Hard Su Fees to be added to Permit # P4 ,/ ❑ NOT QUIRED ov SCR <br />See Att ed Spreadsheet for calculations / credit 1� <br />❑ NOT REWIRED <br />Additional Checklists: <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) <br />T YES — TYPE: IQ SFR QDUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY []COMMERCIAL <br />WSee Attached 606r, 2 copies (Permit Techs to issxe o e copy to applicant with permits, scan one copy to Jeffrey Marks) <br />JM Digital copy ached to permit record, Permit <br />50 Saved tpAddress Folder in Development Tech File <br />❑ NOT REQUI <br />FIRE SPRINKLERS RE ED? <br />❑ YES —Type <br />CYKNOT REQU D <br />Reason: U <br />PUBL WORKS PERMIT REQUIRED? <br />BYES, Permit # PW j 1— 7 Z Z1 <br />C�rStormwater NPDES T b Completed in TRAKiT 13ADA Tab Completed in TRAKiT [inspections Added in TRAKiT <br />❑, NOT REQUIRED <br />Worksheet Completed By: — --- Date: S Z 1AO <br />Worksheet Checked By: Date: Z <br />REVISED 4/24/2019 <br />