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• • <br /> PUBLIC WORKS REVIEW WORKSHEET <br /> PROJECT ADDRESS: 10326 19TH PL W Permit#: B1807-048 <br /> TENANT: [TenName] <br /> DESCRIPTION OF WORK: BUILD DETACHED GARAGE TO REPLACE CURRENT 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 lnigation, as selected below) <br /> SANITARY SEWER: DOMESTIC WATER SERVICE: (Not Including Cost Estimates) <br /> ❑ New Connection ❑ New Connection, Size <br /> ❑Alteration ❑ Meter Only,Size <br /> ❑ Repair ❑ Backflow Prevention(Outside Building): ❑ RPBA or 0 DCVA <br /> ❑ Cap-off RPNOT REQUIRED <br /> ❑ Reconnect Explanation/Utility Permit#: <br /> NOT REQUIRED <br /> Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Not Including Cost Estimates) <br /> ❑ New Connection, Size ❑ New Connection, Size <br /> ❑ Meter Only,Size ❑3/4'Detect Meter Only,Service Size <br /> ❑ Backflow Prevention(Outside Building): 0 DCVA ❑ Backflow Prevention (Outside Building): ❑ DCDA <br /> El-NOT REQUIRED *NOT REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-Of yes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑Yes,Quantity , See attached for reference. <br /> ®-NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit) <br /> ❑Water Service Line(behind meter), Size <br /> ❑ Backflow Prevention(Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> IE-NOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> ❑YES,Water:$ 0 YES,$ <br /> Sewer: $ 0 See Attached Spreadsheet for calculations/credit <br /> ❑ See Attached Spreadsheet for calculations/credit gr NOT REQUIRED <br /> W-NOT REQUIRED <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES—TYPE <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 /> LE NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> .NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ❑YES, Permit#PW <br /> ❑Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT <br /> EI-NOT REQUIRED <br /> Worksheet Completed By:1 [N�cw1PaZ�f Date: Walt 8 <br /> Worksheet Checked By: Date: iris/2 l� <br /> REVISED 8/6/2018 <br />