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• • <br /> EL. EVERETT <br /> PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 10318 EVERGREEN WAY Permit#: B2111-024 <br /> TENANT: WOODS COFFEE <br /> DESCRIPTION OF WORK: BLDG PERMIT FOR NEW DRIVE THRU COFFEE SHOP-WOODS COFFEE <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 /> flew Connection to main plus 9 connections to building KNew Connection, Size 2 " -0 Per Cost Estimate <br /> ❑Alteration 0 Meter Only, Size -0 Per Cost Estimate <br /> ❑ Repair Water System Development Fee Total:$ 2 2, ao <br /> ❑ Cap-off, quantity Sewer System Development Fee Total: $ 2 4, 73 ?. oo <br /> ❑ Reconnection to stub 0 Water Service Line(behind meter), Size <br /> ❑ Backwater Valve 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> ❑ NOT REQUIRED 0 NOT REQUIRED <br /> Explanation/Utility Permit#:Ut226"t Explanatio /Utility Permit#: 22ot QE <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) F4WADVA E SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size 0 New Connection, Size -0 Per Cost Estimate <br /> ❑ Meter Only, Size 0 3/4" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total:$ 0 Backflow Prevention (Outside Building): 0 DCDA <br /> ❑ Backflow Prevention (Outside Building): 0 DCVA NOT REQUIRED <br /> ONOT REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑Yes, Quantity , See attached for reference. <br /> IeNOT 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) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> KNOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> ICES, See Attached for calculations/credit 0-YES,Traffic Mitigation Total: $3 4, I-10.bb <br /> To be added on PW To be added on 'Z I II-6 2 4 s-See Attached for calculations/credit <br /> Quantity charged SF Quantity charged Ulf SF 0 NOT REQUIRED <br /> QTY is 0 Ground only 0 all hard surfaces QTY is lC Roof only 0 all hard surfaces <br /> $ $ t—i4. vq " y SF <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 /> rif-YES—TYPE: 0 SFR 0 DUPLEX 0 ADU 0 INFILL DWELLING 0 MULTI-FAMILY Cf"GOMMERCIAL <br /> See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> -Bigital copy attached to permit record, Permit# '3j' 1-024 <br /> PYSaved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> izt NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ❑YES, Permit#PW <br /> ❑Stormwater NPDES Tab Completed in TRAKiT 0 ADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT <br /> iiiNOT REQUIRED <br /> Worksheet Completed By: Date: 4f1,5 <br /> Worksheet Checked By: Date: <br /> REVISED 11/27/2019 <br />