1525 75TH ST SW CASCADE COFFEE 2022-01-24

- E V E R E T T PUBLIC WORKS REVIEW WORKSHEET NEM WASHINGTON PROJECT ADDRESS: 1525 75TH ST SW Permit#: B2107-013 TENANT: CASCADE COFFEE DESCRIPTION OF WORK: FOUNDATION &ANCHORAGE OF 9,000 GAL LIQUID NITROGEN TANK 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.) ❑ New Connection to main plus connections to building 0 New Connection, Size -0 Per Cost Estimate ❑Alteration 0 Meter Only, Size -0 Per Cost Estimate ❑ Repair ❑Water System Development Fee Total:$ ❑ Cap-off,quantity 0 Sewer System Development Fee Total: $ ❑ R onnection to stub El ter Service Line(behind meter), Size ❑ ckwater Valve 0 ackflow Prevention (Outside Building): 0 RPBA or 0 DCVA OT REQUIRED OT REQUIRED xplanation/Utility Permit#: Explanation/Utility Permit#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) ❑ New Connection, Size ❑ New Connection, Size - 0 Per Cost Estimate ❑ Meter Only, Size ❑3/4" Detect Meter Only, Service Size ❑Water System Development Fee Total:$ 0ackflow Prevention (Outside Building): El DCDA ❑ l�ackflow Prevention (Outside Building): 0 DCVA NOT REQUIRED OT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) V❑Y s, 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) 04 ackflow Prevention (Inside Building): 0 DCVA(for Domestic service) ❑ RPBA(for Domestic service) El DCDA(for Fire service) OT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STQRMWAT R SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ES, ❑ Attached for calculations/credit ❑YES,Traffic Mitigation Total:$ To be a ed on PW To be added on 24 I)r-0)7 ❑ See Attached for calculations/credit Quantity charged SF Quantity charged �j��-}' SF KNOT REQUIRED QTY is 0 Ground only❑ all hard surfaces QTY is 0 Roof only CrFh&rd surfaces $ $ ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑YES—TYPE: ❑SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL ❑See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) 0 Digital copy attached to permit record, Permit# ❑Saved to Address Folder in Development Tech File NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ ES—Type freNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑YES, Permit#PW 104 0 Stormwater NPDES Tab Completed in TRAKiT 0 ADA Tab Completed in TRAKiT 0 Inspecti ns Adde in TRAKiT OT REQUIRED3_ / Worksheet Completed By: ( Date: Ojtu'z.) Worksheet Checked By: Date: 41[0de 202( REVISED 11/27/2019