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r__1 <br />EVERETT PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />PROJECT ADDRESS: 7818 LARIMER RD Permit #: C1906-010 <br />TENANT: [TenName] <br />DESCRIPTION OF WORK: NEW ADU 798SF (DETACHED) <br />PW Reviewer to select all that ajoply below: <br />Utility Permits (No : Permit Technicians to Create Utility P <br />ermwer, Water, Fire, and/ rri tion, as selected below) <br />SANITARY SEWER: ESTIC WATER SERV E: (Attach Calculation &Cost Es <br />❑ New Connection main plus connections to buildingw Connection, Size - ❑Per Cost Estimate <br />❑ Alteration ter Only, Size - ❑Per Cost Estimate❑ Repair ater System Deve pment Fee Total: $ <br />❑ Cap -off, qu tity wer Syste Dev lopment Fee Total: $ <br />❑ Reconne 'on to stubater Service i (behind meter), Size❑ Backwat r Valve ckflow Preve on (Outside Building): ❑RPBAor ❑XNOT QUIRED T REQUIRED <br />Explana on/ Utility Permit #: c� N S£? %•c- nation/ Utility Permit #: <br />IRRIGATION SERVI Not Including Cost Estimates) FIRE SERVICE; (Attach Cost Estimate /Request fordeference) <br />❑ New Connectio , Size ❑ New Con ction, Size - ❑ Per Cost Estimate <br />❑ M/Sys <br />e ❑ 3/4" Det t Meter Only, Service Size <br />❑ WDevelopment Fee Total: $ ❑Back w Prevention (Outside Building): ❑DCDA <br />❑ Bention (Outside Building): ❑ DCVA K-NO REQUIRED <br />-NED Exp nation/ Utility Permit #: <br />Exply Permit #: <br />WATER DEP MENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) <br />❑ Yes, Qua ty See attached for reference, <br />W-NOT R UIRED <br />Plumbin ermits ( te: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) <br />❑ Backflo Prevention (In ide Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) <br />�AIOT QUIRED <br />Building Permit (Note: Permit Technicians to add all items selected below to associated Building Permi <br />STORMWATER SYS EM DEVELOPMENT FEES: n TRAFFIC MITIG ON FEES: <br />BYES, Storm ter otal: $ 9B• ®Yt C19 ®6 ®1® ❑ YES, Traff itigation Total: $ <br />oof Only on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ Se ttached for calculations /credit <br />❑ All Hard Su ce Fees to be added to Permit # IYNO EQUIRED <br />,-See Attached Spreadsheet for calculations / credit <br />❑ NOT <br />dditional Checklists: <br />ADDRESS LETTER REQUIRED? (If es (new assigned address), printout Address Letter from TRAKiT Print Menu and include) <br />YES —TYPE: ❑ SFR ❑ DUPLADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑COMMERCIAL <br />IX See Attached Letter, 2 c pies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />)gDigital copy attached t permit record, Permit# L' I90(o-61tU <br />,Saved to Address Fo er in Development Tech File <br />❑ NOT REQUIRED <br />I RS RE IRED? <br />❑ YES ype <br />REQUIRED <br />Reason: <br />PUBLIC WOR ERMIT REQUIRED? <br />YES, P it # PW <br />Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT Of REQUIRED p <br />Worksheet Completed By: Date: / /(p /Zo 19 <br />Worksheet Checked By: Date: <br />REVISED 4/24/2019 <br />