3600 SMITH AVE 2022-03-11 - Laserfiche WebLink

i rl1 EVERETT WASHINGTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 3600 SMITH AVE Permit #: PW1807-018 TENANT: [TenName] DESCRIPTION OF WORK: SITE WORK FOR PARKING LOT FOR PARK & RIDE PW Reviewer to select all that aaoly below: Utility Permits (Note: rmit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) SANITARY SEWER: DOMESTIC WATER SERVICE: (Att Calculation &Cost Est) ❑ New Connection main plus connections to building ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Alteration ❑ Meter Only, Size - ❑ Per Cost Estimate ❑ Repair ❑ Water System Develo ent Fee Total: $ ❑ Cap -off, ntity ❑ Sewer System Dev opment Fee Total: $ ❑ Reconn tion to stub ❑Water Service a (behind meter), Size ❑ ack ter Valve ❑ Backflow Pr ention (Outside Building): ❑ RPBA or ❑ DCVA NO REQUIRED O-NOT IRED ation/ Utility Permit #: Explanation/ Utility Permit #: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost E ' ate /Request for Reference) bNew Connection, Size I ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Meter Only, Size ❑ %" Detect Meter qnlpeervice Size Water System Development Fee Total: $ tv (vOa. CV ❑ Backflow PreventX (Outside Building): ❑ DCDA 'pBackflow Prevention (Outside Building): ,,DCVA RLNOT REQUIR ❑ NOT REQUIRED Explanation/ ity Permit #: Explanation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) )(Yes, Quantity ] See attached for reference. OT REQUIRED Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) ABackflow Prevention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) NOT REQUIRED Building Per its (Note: Permit Technicians to add all items selected below to associated Building Permit S ORMWATE SYSTEM DEVELOPMENT FEES: TRAFFIC MITIG ON FEES: VIrd ater Total: $ -7 aga-1 _ Q"1 ❑ YES, Traff itigation Total: $ y Fee on Bldg Permit (ground hard surfaces fee on PW Permit) ❑ Se ttached for calculations / credit Surface Fees to be added to Permit #'PW 160-7 -Of e) �IOT EQU[RED ched Spreadsheet for calculations / credit ❑ED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) ❑ YES — TYPE: ❑ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL ❑ See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ❑ Digital copy attached to permit record, Permit # ❑ Saved to Address Folder in Development Tech File U(NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type *�NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? [KYES, Permit # PW /$07- 01 b 1I.Stormwater NPDES Tab Completed in TRAKiT FLADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: (p !3 /Ze / 9 Worksheet Checked B): Date: '4 L4 w KtVIJtU 41241ZUIY