Laserfiche WebLink
• • <br /> 11_. EVERETT <br /> PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 6522 WETMORE AVE SE Permit#: PW2010-035 <br /> TENANT: [TenName] <br /> DESCRIPTION OF WORK: SITEWORK FOR ADDITION ONTO SFR <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 -0 Per Cost Estimate <br /> ❑Alteration 0 Meter Only Size -0 Per Cost Estimate <br /> ❑ Repair 0 Water Sy em Development Fee Total:$ <br /> ❑ Cap-off, antity ❑ Sewer stem Development Fee Total:$ <br /> ❑ Reconn ction to stub 0 Water ervice Line(behind meter), Size <br /> ❑ ackw ter Valve 0 z ack w Prevention (Outside Building): ❑ RPBA or 0 DCVA <br /> NOT EQUIRED NO REQUIRED <br /> Expla tion/Utility Permit#: Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size 0 New Connection, Size_ -❑ Per Cost Estimate <br /> ❑Meter Only Size 0 3/4" Det ct Meter Only, Service Size <br /> ❑Water Sy em Development Fee Total: $ 0 Back w Prevention (Outside Building): ❑ DCDA <br /> ❑ Backflo Prevention (Outside Building): 0 DCVA IVOT EQUIRED <br /> KNOT QUIRED Expla ation/Utility Permit#: <br /> Explana on/Utility Permit#: <br /> WATER DE ARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑ es, Q ntity , See attached for reference. <br /> XNOT QUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ❑ Backflow P evention (Inside Build VA(for Domestic service) 0 RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> )(NOT RE IRED <br /> Building Permits Note: 'ermit Technician to add all items selected below to associ ted Buildin ennit <br /> STORMWATER SY EM D' ELOPMENT FEE-: TRAFFIC MI GATION FEES: <br /> ''YES, Stormwa Total: 112.O°1 ❑YES,Tr is Mitigation Total: $ <br /> Roof Onl Fee on Bl.g Permit(ground h,rd surf s f e on W P9 ❑ S Attached for calculations/credit <br /> All Har Surface Fe-s to be added to '-rmit# OT EQUIRED <br /> See tached Spre.•sheet for calcu -tions/credit <br /> ❑ NOT R UIRED <br /> Additional Checkli ts: <br /> ADDRESS LETTER R UIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES—TYPE: 0 S ❑ DUPLEX ❑ADU ❑ INFILL DWELLING ❑ MULTI-FAMILY ❑ COMMERCIAL <br /> ❑ See Att hed Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> ❑ Digital opy attached to permit record, Permit# <br /> ❑ Say to Address Folder in Development Tech File <br /> )(NOT REQU ED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES—Type <br /> ❑ NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> YES, Permit#PW 2.410 - 035 <br /> gi(Stormwater NPDES Tab Completed in TRAKiT DADA Tab Completed in TRAKiT Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: MAL Date: (0 Zl,g.0 <br /> Worksheet Checked By: Date: I 1r Q 2Oa O <br /> REVISED 11/27/2019 <br />