2325 75TH ST SE 2021-12-27 - Laserfiche WebLink

EVERETT WASHINQTON PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 2326 75TH ST Kermit #: PW2010-040 TENANT: [TenNamej DESCRIPTION OF WORK: NEW SFR INFILTRATION PROPOSED 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.) CK New Connection to main plus 1 connections to building M New Connection, Size 1" dom /fire - E] Per Cost Estimate ❑ Alteration ❑ Meter Only, Size - ❑ Per Cost Estimate ❑ Repair 1O Water System Development Fee Total: $, 4,072 ❑ Cap -off, quantity IN Sewer System Development Fee Total: $ 5,270 ❑ Reconnection to stub 0 Water Service Line (behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA ❑ NOT REQUIRED ❑ NOT REQUIRED Explanationt Utility Permit #: a zk 03 — Explanation/ Utility Permit #: \ 1 2-to s , c)92 - IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Att Cost Estimate /Request for Reference) ❑ New Connection, Size ❑ New Connecti , Size - ❑ Per Cost Estimate ❑ Meter Only, Si ❑ W Detect ter Only, Service Size ❑ Water Sys Development Fee Total; $ ❑ Backflo revention (Outside Building): ❑ DCDA ❑ Backfl Prevention (Outside Building): ❑ DCVA Isl NOT EQUIREp Ise NO EQUIRED Ex p ation/ Utility Permit M Ex nation/ Utility Permit M WATER DEPARIPtNT COST ESTIMATE NEEDED-flfyes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Quani' ,See attached for reference. 14 NOT 135CrDRED Pluilrbing Permits (Note.: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) ❑ Backflow Prevention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) D4 NOT REQUIRED Building Permits (Note: Pettit Tee cians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOP NT FEES: TRAFFIC MITIG ON FEES; YES, Stormwater Total: $ 8 05 M YES, Trafti itigation Total: $, 2,400 ❑ Roof Only Fee an Bid ermit (ground hard surfaces fee on PW Permit) ❑ Se ttached for calculations / credit i% All Hard Surface F to be added to Permit # PW2010-040 ❑ NOT ni►RED ❑ See Attached S eadsheet for calculations / credit ❑ NOT REQUIRED el Additional Checklists: ADDRESS LETTER REQUIRED? (If now assigned address), print out Address Letter from TRAKIT Print Menu and Include) ]�I YES —TYPE: SFR ❑ DUP ❑ ADU ❑ IN FILL DWELLING ❑ MULTI -FAMILY ❑COMMERCIAL See Attached Lette copies (Permit Techs to issue one co to applicant with permits, scan one copy to Jaffrey Marks) X Digital copy atta ed to permit record, Permit # PW201 D-040 10 Saved to Ad ss Folder in Development Tech Flie 13 NOT REQUIRED FIRE SPRINKLERS. REQUIRED? JI YES Type X3 D- ❑ NOT REQ ED Reason: PUBLIC WORKS PERMIT REQUIRED? )0 YES, Permit # PW P 2010-040 DO Stormwater NPDES Tab Completed in TRAKIT M ADA Tab Completed in TRAKIT Inspections Added in TRAKIT ❑ NOT REQUIRED Worksheet Completed By: AH Date: 11 /30/20 Worksheet Checked By: SEF Date: 11 /30/20 eEMEa 11re7n0rs