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r <br />ri <br />E E R E T T PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />PROJECT ADDRESS: 2318 BAKER AVE Permit #: B2104-023 <br />TENANT: [TenName] <br />DESCRIPTION OF WORK: CONST OF 20'X24' DETACHED GARAGE <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 -off, quantity ❑ Sewer System Development Fee Total: $ <br />❑ Reconnection to stub ❑ Water Service Line (behind meter), Size <br />❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA <br />RIOT REQUIRED RIOT REQUIRED <br />Explanation/ Utility Permit #: Explanation/ 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 Only, Size ❑ %" Detect Meter Only, Service Size <br />❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA <br />ackflow Prevention (Outside Building): ❑ DCVA 044-eT REQUIRED <br />4OT <br />REQUIRED Explanation/ Utility Permit #: <br />Explanation/ Utility Permit #: <br />WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewerto send cost estimate request to Water Department) <br />❑ Yes, Quantity See attached for reference. <br />JW<OT 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 />It -NOT REQUIRED <br />Building Permits (Note: Permit Technicians to add all items selected below to associated <br />Building Permit) <br />STORMWATER SYSTEM DEVELOPMENT FEES: <br />TRAFFIC MITIGATION FEES: <br />04ES, XSee Attached for calculations / credit <br />❑ YES, Traffic Mitigation Total: $ <br />To be added on PW 0 To be added on <br />❑ See Attached for calculations / credit <br />Quantity charged eoo4 SF Quantity charged SF <br />IDIOT REQUIRED <br />QTY is ❑ Ground only II hard surfaces QTY is ❑ Roof only ❑ all hard surfaces <br />$ 16g.05 $ <br />❑ NOT REQUIRED <br />Additional Checklists: <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) <br />OYES -TYPE: ❑ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />❑ See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />❑ Digital copy attached to permit record, Permit # <br />❑ Saved to Address Folder in Development Tech File <br />WNOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />❑ YES -Type <br />)CNOT REQUIRED <br />Reason: <br />PUBLIC WORKS PERMIT REQUIRED? <br />YES, Permit # PW 7 10'7- o 2.0 <br />VC-9tormwater NPDES Tab Completed in TRAKiT L2�' A Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT <br />NOT REQUIRED <br />Worksheet Completed By: Date: 0 LZ.Z�'jv-L.t <br />Worksheet Checked By: Date: <br />Kt V16tU 77/ZUZU7V <br />