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EVERETT 'w W <br />PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />PROJECT ADDRESS: 3006 47TH ST SE LOT 351f Permit #: C1910-005 <br />TENANT: OVERLOOK AT RIVERFRONT <br />DESCRIPTION OF WORK: NEW SFR 2015 IRC - RB1810-001 <br />Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br />SANITARY SEWER: <br />MNew Connection to main plus _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 />187NOT REQUIRED <br />Explanation/ Utility Permit #: <br />DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) <br />❑ New Connection, Size - ❑ Per Cost Estimate <br />RMeter Only, Size $141 - ❑ Per Cost Estimate <br />tikWater System Development Fee Total: $ %q5?•,a <br />WSewer System Development Fee Total: $ 5121. <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 />IM NOT REQUIRED <br />Explanation/ Utility Permit #: <br />WATER DEPARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) <br />❑ Yes, Quantity See attached for reference. <br />1KNOT 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 />'K 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 />9 YES, Stormwater Total: $ A Z • W ❑ YES, Traffic Mitigation Total: $ <br />❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ See Attached for calculations ! e <br />10�All Hard Surface Fees to be added to Permit # 0-11/000.5 WNOT REQUIRED <br />❑ See Attached Spreadsheet for <br />�calculations / credit <br />❑ NOT REQUIRED Sl-+I AJW . S15hQ <br />Additional Checklists: <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />YES —TYPE: IKSFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />1: See Attached Letter, 2 copies (Pen -nit Techs to issye on opy to applicant with permits, scan one copy to Jeffrey Marks) <br />1ZDigital copy attached to permit record, Permit # PWI910-�� <br />18'Saved to Address Folder in Development Tech File <br />❑ NOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />❑ YES —Type <br />KNOT REQUJRED ' Reason: 1.) 1 N 350C F <br />PUBLIC WORKS PERMIT REQUIRED? <br />MYES, Permit # PW1g10—ft.5 <br />IZStormwater NPDES Tab Completed in TRAKiT KADA Tab Completed in TRAKiT Inspections Added in TRAKiT <br />❑ NOT REQUIRED <br />Worksheet Completed By: Date: ®� �v <br />Worksheet Checked By: Date: <br />REVISED 4/24/2019 <br />