1802 75TH ST SW 2021-12-30 - Laserfiche WebLink

r7 EVERETT 'qv� WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 1802 75TH ST SW Permit #: PW1912-045 TENANT: [TenName] DESCRIPTION OF WORK: EXPAND SUBSTATION FENCE FOR SWITCHGEAR AND MAINT ACCESS PW Reviewer to select all that apply below. Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) ❑ New Connection to main plus connections to building ❑ New Connection, e ❑ Per Cost Estimate ❑ Alteration ❑ Meter Only, Si - ❑ Per Cost Estimate ❑ Repair ❑ Water Syste Development Fee Total: $ ❑ Cap -off, quan ' ❑ Sewer S em Development Fee Total: $ ❑ Reconnecti to stub ❑ Water ervice Line (behind meter), Size ❑ Backwate alve ❑ Bac ow Prevention (Outside Building): ❑ RPBA or ❑ DCVA �IOT R UIRED REQUIRED Explanati n/ Utility Permit #: Explanation/ Utility Permit #: IRRIGATION SER CE: (Not Including Cost Estimates) FIRE SERVIC : (Attach Cost Estimate / Request for Reference) ❑ New Connect n, Size ❑ New Con ction, Size - ❑ Per Cost Estimate ❑ Meter Only ize ❑ %" Dete Meter Only, Service Size ❑ Water Sy em Development Fee Total: $ ❑ Back w Prevention (Outside Building): ❑ DCDA ❑ Backflo Prevention (Outside Building): ❑ DCVA ONO EQUIRED NOT QUIRED Expl nation/ Utility Permit #: Explanation/ Utility P rmit #: WATER DEPA MENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Quan ' y See attached for reference. ONOT R UIRED Plum ing P mitS (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) ❑ �ackflow P en ion (In�g VA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) NOT IRED B Iding Permits (Note: Permit Technicians to add all items selected below to associated Building �Tloltsl S ORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITI FEES: YES, Stormwater Total: $3-73 . 0_4 ❑ YE❑S, Tra c Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit (ground hard surfaces fee on P Permit) S Attached for calculations / credit RH All Hard Surface Fees to be added to Permit #?,*4 g 12- b S' NOT EQUIRED Air -see Attached Spreadsheet for calculations? credit . NOT REQUIRED Additional Checklists: ADDRESS LETTER MEQUIRED? (If yes (new assig d address), print out Address Letter from TRAKiT Print Menu and include) ❑ YES — TYPE: SFR ❑ DUPLEX ❑ AD ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL ❑ See ttached Letter, 2 copie rmit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ❑ Di ermit record, Permit # ❑ aved to Address Folder in Development Tech File NOT QUIRED FIRE SPRINKAERS REQUIRED? ❑ YES —Ty ,-NOT QUIRED Reason PUBLIC WORKS PERMIT REQUIRED? QPtES,P9rmit#PW ormwater NPDES Tab Completed in TRAKiT &-*DA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By �� Date: L /Tr. /Z67-6 Worksheet Checked By: Date: REVISED 1172772019