Laserfiche WebLink
EVERETT <br />WASHINGTON PUBLIC WORKS REVIEW WORKSHEET <br />PROJECT ADDRESS: 8417 EVERGREEN WAY STE 2 Permit #: B2010-019 <br />TENANT: NEW WINGSTOP RESTAURANT <br />DESCRIPTION OF WORK: CONVERT EXTG VACANT SPACE TO NEW WINGSTOP RESTAURANT <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 Connect' n, Size - ❑ Per Cost Estimate <br />❑ Alteration ❑ Meter Only, ize - ❑ Per Cost Estimate <br />❑ Repair ❑ Water Sys m Development Fee Total: $ <br />❑ Cap -off, antity ❑ Sewer S tem Development Fee Total: $ <br />❑ Reconn tion to stub ❑ Water ervice Line (behind meter), Size <br />❑ Backw er Valve ❑ Back w Prevention (Outside Building): ❑ RPBA or ❑ DCVA <br />XNOT EQUIRED h(NO REQUIRED <br />Expla tion/ Utility Permit #: Expl ation/ Utilit/ee <br />Permit #: I <br />i <br />IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SEch Cost Estimate / Request for Reference) <br />❑ New Connection, Size ❑ New Cize - ❑ Per Cost Estimate <br />❑ Meter Only, Si ❑'/" Denly, Service Size <br />❑ Water Systeevelopment Fee Total: $ ❑Backflon (Outside Building): ❑ DCDA <br />❑ Backflow P evention (Outside Building): ❑ DCVA NOT NOT RE UIRED Explanatermit #: <br />Explanat" n/ Utility Permit #: <br />WATERQuVntity <br />ARTMENT COST ESTIMATE N DED-(/f yes, PW Reviewer to send cost estimate request.to Water Department) <br />❑ Yes, See attach for reference.NOTQUIRED <br />i <br />Plumbing ermltS (Note: Permit echnicians to add all items selected below to Plumbing Permit -for items inside building only) i <br />KBackflow revention (Inside Buildin ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ CDA (for Fire service) i <br />NOT R UIRED <br />i <br />Building Permits (Note: Per it Technicians to add all " s ted below to associated BuildinZT <br />rmit) <br />STORMWATER SYSTEM DEVEL PMENT FEES: TRAFFIC MITION FEES: <br />YES, Stormwater Total: $ I ❑YES, Tra is Mitigation Total: ! <br />h: Roof Only Fee on Bldg Pe it (ground hard rfaces fee on PW Per it) ❑ Se Attached for calculatio s ! dredit <br />j�All Hard Surface Fee to a added to Permi # s®i NOT QUIRED <br />See Attached Spreads t for calculations credit <br />0 NOT REQUIRED <br />Additional Checklists: E <br />I <br />ADDRESS LE TER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) p <br />❑ YES — Ty <br />E: ❑ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />❑ ee Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />NO/PRDigital opy attached to permit record, Permit # <br />Save to Address Folder in Development Tech File <br />IN <br />QUI DFIRE LERS REQUIRED? <br />❑ YES —T e <br />i <br />NOT R QUIRED <br />Reason: <br />r <br />PUBLIC WORK PERMIT REQUIRED? j <br />❑ YES, Permi PW <br />❑ S rmwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT <br />NOT RE IRED [ <br />Workshee Completed By: Date: d0 'lz 9-10 t <br />i <br />�n1...��tive+ �tie..�e.+ a,.• n�+e• <br />HLVIStU 11272019 <br />