Laserfiche WebLink
0 • <br /> LE EVERETT PUBLIC WORKS REVIEW WORKSHEET <br /> Immo WASHINGTON <br /> PROJECT ADDRESS: 4815 GLENWOOD Permit#: B2009-018 <br /> TENANT: [TenName] <br /> DESCRIPTION OF WORK: CONSTRUCT 14X17 DECK WITH STAIRS LEADING TO THE GROUND <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 -❑ Per Cost Estimate <br /> ❑ Repair 0 Water System Development Fee Total: $ <br /> ❑Cap-off,quantity 0 Sewer Sy tem Development Fee Total: $ <br /> ❑ Reconn ction to stub 0 Water S rvice Line(behind meter),Size <br /> ,0 Back ater Valve 0 Backfl Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> kNO REQUIRED VNOT EQUIRED <br /> Expl ation/Utility Permit#: planation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate IRe quest for Reference) <br /> ❑ New Connection, Size ❑ New C.nnection, Size -❑ Per Cost Estimate <br /> ❑ Meter Only Size ❑' " D: ect Meter Only, Service Size <br /> ❑Water Sy em Development Fee Total: $ 0 Ba► flow Prevention (Outside Building): ❑ DCDA <br /> ❑ Backflo Prevention (Outside Building): 0 DCVA ■ •T REQUIRED <br /> NOT EQUIRED planation/Utility Permit#: <br /> E .Ian tion/Utility Permit#: <br /> WATER DEP RTMENT COST ESTIMATE NEEDED-(If yes, PWReviewerto send cost estimate request to Water Department) <br /> ❑Yes, Qu tity , See attached for reference. <br /> /cNOT QUIRED <br /> Plumbing ermits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ❑ Backflow revention (Inside Building): ❑ DCVA(for Domestic service) ❑ RPBA(for Domestic service) 0 DCDA(for Fire service) <br /> �N R UIRED <br /> wilding Permits (Note:Permit Technicians to add a "ems selected below to associated Building Permit) <br /> ORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC fTIGATION FEES: <br /> YES, ❑See Attached for calculations/credit ❑YES, affic Mitigation Total: $ <br /> To be added on PW '2104{ - 01 To be added on ❑ ee Attached for calculations/credit <br /> Quantity charged IZ SF Quantity charged SF T REQUIRED <br /> TY is X Ground`only 0 all hard surfaces QTY is❑ Roof only 0 II hard surfaces <br /> ❑ N T REQUIRED <br /> Additional Checklists: <br /> ADDRESS LETTER EQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES-TYPE: FR 0 DUPLEX ❑ADU ❑ INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL <br /> ❑ See tached L tter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> ❑ Di 'al copy a ached to permit record, Permit# <br /> ❑ ved to A ress Folder in Development Tech File <br /> KNOT R UIRED <br /> FIRE SPRINKL S REQUIRED? <br /> ❑YES-Type <br /> -iENOT RE IRED <br /> R ason: <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 /> ❑ NOT REQUIRED <br /> Worksheet Completed By: Date: 10 2a <br /> Worksheet Checked By: Date: <br /> REVISED 11/27/2019 \ \ <br />