Laserfiche WebLink
• <br /> E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 6406 HIGHLAND DR Permit#: BW1910-004 <br /> TENANT: [TenName] <br /> DESCRIPTION OF WORK: 2 STORY DETACHED ADU WITH GARAGE BELOW <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br /> SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation& Cost Est.) <br /> ❑ New Connection to main plus connections to building 0 New Connection, Size - ❑ Per Cost Estimate <br /> Alteration 0 Meter Only, Size -0 Per Cost Estimate <br /> ❑ Repair 0 Water System Development Fee Total: $ <br /> ❑ Cap-off, quantity 0 Sewer System Development Fee Total:$ <br /> ❑ Reconnection to stub Water Service Line(behind meter), Size spin <br /> ❑ Backwater Valve 0 Backflow Prevention (Outside Building): ❑ RPBA or 0 DCVA <br /> ❑ NOT REQUIRED // ,l�11 0 NOT REQUIRED <br /> Explanation/Utility Permit#: Zoo UO Explanation/Utility Permit#: i kV 69-00g <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ►V ❑ New Connection, Size // 0 New Connection, Size -0 Per Cost Estimate <br /> ❑ Meter Only, Size 0 3/" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA El NOT REQUIRED <br /> SNOT REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> tikWATER DEPARTMENT COST ESTIMATE NEEDED-(lf yes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑Yes, Quantity , See attached for reference. <br /> KNOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) ❑ RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> j� *NOT REQUIRED <br /> t\"� Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> STORMWATER SYSTEM DEVELOP II ENT FEES: TRAFFIC MITIGATION FEES: <br /> v-WYES, Stormwater Total: $ ❑YES,Traffic Mitigation Total: $ <br /> ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit <br /> ' ,'All Hard Surface Fees to be added to Permit# pWJgI2-' OZ KNOT REQUIRED <br /> ❑See Attached Spreadsheet for calculations/credit <br /> ❑ 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 /> tviYES—TYPE: 0 SFR 0 DUPLEX It ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <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 /> Jit Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ��pp ❑YES—Type <br /> O tr` hNOT Rea on R 1A4J t'4 D 350 OF ff1. <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> 'YES, Permit#PW [q,t Z-0�.'7 <br /> 0 Stormwater NPDES Tab Completed in TRAKiT 0 ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: '5• Date: kit t 3 tt t <br /> Worksheet Checked By: Date: <br /> REVISED 11/27/2019 <br />