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EVE R E TT PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />PROJECT ADDRESS: Permit #: PW1909-047 <br />TENANT: IPT322OVERLOOK AT RIVERFRONT 00-- <br />DESCRIPTION OF WORK: <br />Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br />SANITARY SEWER: <br />is New Connection to main plus 8 connections to building <br />❑ Alteration <br />❑ Repair <br />❑ Cap -off, quantity <br />❑ Reconnection to stub <br />❑ Backwater Valve <br />❑ NOT REQUIRED <br />Explanation/ Utility Permit #: <br />IRRIGATION SERVICE: (Not Including Cost Estimates) <br />❑ New Connection, Size <br />❑ Meter Only, Size <br />❑ Water System Development Fee Total: $ <br />❑ Backflow Prevention (Outside Building): ❑ DCVA <br />KNOT REQUIRED <br />Explanation/ Utility Permit #: <br />DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) <br />❑ New Connection, Si e - ❑ Per Cost Estimate <br />U(Meter Only, Size 1 'r - ❑ Per Cost Estimate <br />iR Water System Development Fee Total: $ 3 95? <br />ErSewer System Development Fee Total: $ <br />❑ Water Service Line (behind meter), Size <br />❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA <br />❑ NOT REQUIRED <br />Explanation/ Utility Permit #: <br />FIRE SERVICE: (Attach Cost Estimate /Request for Reference) <br />❑ New Connection, Size - ❑ Per Cost Estimate <br />❑ %" Detect Meter Only, Service Size <br />❑ Backflow Prevention (Outside Building): ❑ DCDA <br />WNOT REQUIRED <br />Explanation/ Utility Permit #: <br />WATER DEPARTMENT COST ESTIMATE NEEDED-(Ifyes, PW Reviewer to send cost estimate request to Water Department) <br />❑ Yes, Quantity See attached for reference. <br />9 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 />KNOT REQUIRED <br />Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) <br />STORMWATER SYSTEM DEVELOPMENT FEES: <br />'BYES, Stormwater Total: $ Z -9A <br />❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) <br />KAII Hard Surface Fees to be added to Permit # 0-j909-003 <br />❑ See Attached Spreadsheet for calculations / credit <br />❑ NOT REQUIRED „. ,, i w e a /. _—. a_ .. _ 1 ...N <br />Additional Checklists: <br />TRAFFIC MITIGATION FEES: <br />❑ YES, Traffic Mitigation Total: $ <br />❑ See Attached for calc lations / cr it <br />](NOT REQUIRED <br />Atj <br />A DRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />YES —TYPE: 1K SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />I:See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />IdDigital copy attached to permit record, Permit # PUI t)q-py:?- <br />Pf Saved to Address Folder in Development Tech File <br />❑ NOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />❑ YES —Type <br />'NOT REQUIRED <br />Reason:r1,IR>f CIDw , W I N 350i OF 66 <br />PUBLIC WORKS PERMIT REQUIRED? <br />❑ YES, Perpit # PWj90T-0LF <br />'gStormwater NPDES Tab Completed in TRAKiT 18(ADA Tab Completed in TRAKiT Inspections Added in TRAKiT <br />❑ NOT REQUIRED <br />Worksheet Completed By: r� Date: 162,1gal <br />Worksheet Checked By: Date: <br />KtVISLO 412412019 <br />