2405 STATE ST 2025-03-10 - Laserfiche WebLink

EVERETT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 2405 STATE ST Permit#: B2209-051 TENANT: DESCRIPTION OF WORK: 2 STORY SINGLE CAR GARAGE WIADU PARTIAL 1ST&ENTIRE 2ND FLR 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 ,[B.Alteration 0 Meter Only, Size - 0 Per Cost Estimate ❑ Repair 0 Water System Development Fee Total:$ ❑ Cap-off, quantity 0 Sewer System Development Fee Total: $ ❑ Reconnection to stub y Water Service Line (behind meter), Size 3I4" ❑ Backwater Valve 0 Backflow Prevention (Outside Building): 0 RPBA or 0 DCVA ❑ NOT REQUIRED a 12_2 o Zi — 0 I ❑ NOT REQUIRED i 2 0 2, _0 'f Explanation/Utility Permit#: V •7 Explanation/Utility Permit#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) ❑ New Connection, Size 0 New Connection, Size -0 Per Cost Estimate ❑ Meter Only, Size 0 3/4' Detect Meter Only, Service Size ❑Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): 0 DCDA ❑ Backflow Prevention (Outside Building): ❑ DCVA gi NOT REQUIRED VI NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) ❑Yes, Quantity , See attached for reference. Z1 NOT REQUIRED Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ❑ Backflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) Vi NOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: &l YES, 0 See Attached for calculations/credit E2,0 1-65( ❑YES,Traffic Mitigation Total: $ To be added on PW_2-3O2-b0 1 To be added on ❑ See Attached for calculations/credit Quantity charged c SF Quantity charged WO SF NOT REQUIRED QTY is 0 Ground�un only W all hard surfaces QTY is al Roof or ly 0 all hard surfaces $❑ NOT REQUIRED �L7j6 Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) tg`I YES—TYPE: 0 SFR 0 DUPLEX RI'ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL 1$See Attached Letter,2 copies (Permit Techs to iss e one copy to applicant with permits, scan one copy to Jeffrey Marks) IN Digital copy attached to permit record, Permit# 2201 •661 Pi Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES—Type M NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? IIg YES, Permit#PW 94 O 2- DO ) VI k cii,Stormwater NPDES Tab Completed in TRAKiT (A ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ❑ NOT REQUIRED I, Worksheet Completed By: J.YW/1144 L7 Date: 0 240 I j 10 Z3 Worksheet Checked By: ,41);7 P Date: OZI p1 I zo�3 REVISED 11/27/2019 /