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Alk <br />lE E R E T T PUBLIC WORKS REVIEW WORKSHEET <br />IRMW <br />WASHINGTON <br />PROJECT ADDRESS: 2506 BAKER AVE Permit #: B2005-039 <br />TENANT: [TenName] <br />DESCRIPTION OF WORK: ADD AWNING 8'X26' TO BACK ALLEY SIDE OF HOUSE AND ADDN ROOF <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 ❑ Meter Only, Size - ❑ Per Cost Estimate <br />❑ Repair ❑ Water System Development Fee Total: $ <br />❑ Cap-FaterValve <br />ntity ❑ Sewer System Development Fee Total: $ <br />❑ Recon to stub ❑ Wat Service Line (behind meter), Size <br />❑ Back ❑ Ba flow Prevention (Outside Building): ❑ RPBA or ❑DCVA <br />A"Q REQUIRED T REQUIRED <br />Exp nation/ Utility Permit #: Ex anation/ Utility Permit #: <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 Onl , Size ❑ 3/" De ct Meter Only, Service Size <br />❑ Water S stem Development Fee Total: $ ❑ Bac ow Prevention (Outside Building): ❑ DCDA <br />❑ Backfl Prevention (Outside Building): ❑ DCVA � REQUIRED <br />9NO EQUIRED Ex anation/ Utility Permit #: <br />Expl nation/ Utility Permit #: <br />WATER D ARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) <br />❑ Yes, antity See attached for reference. <br />&N EQUIRED <br />Plum <br />b'Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit-foritems inside building only) <br />❑ B(Inside Building): (for Domestic service) ❑RPBA (for Domestic service) ❑DCDA (for Fire service) <br />)`INUIRED <br />Building PermitVM"ODEVELOPMENT <br />ote: Permit Technicians to d all items selected below to associated Buildinermit) <br />STORMWATER SYST FEES: TRAFFIC I �i IGATION FEES: <br />ES, Stormwater T tal: $ 4 (a - 5 ❑ YES, affic Mitigation Total: $ <br />Roof Only Fee on Bldg Permit (ground hard su s�o� P� ee Attached for calculations /credit <br />❑ All Hard Surfa a Fees to be added to Permit # [�2t EQUIRED <br />F84See Attached readsheet for calculations / edi <br />❑ NOT REQUIRED <br />Additional Checklis <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />0 YES - TYP ❑ SFR ElDUPLEX ❑ ADU ElINFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />❑ e Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />igital copy attached to permit record, Permit # <br />Saved to Address Folder in Development Tech File <br />I,NOT EQUIRED <br />FIRES INKLERS REQUIRED? <br />❑ YE -Type <br />)kN T REQUIRE <br />Re son: <br />PUBLIC WOOKS PERMIT REQUIRED? <br />❑ YES, P rmit # PW <br />Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT <br />�O REQUIRED <br />Wor sheet Completed By Date: 6 -7l c, 20 sa <br />Worksheet Checked By: Date: <br />KtV1J1=U 77/Z//ZU7V <br />