4920 24TH AVE W 2023-06-22 - Laserfiche WebLink

• EVERETT PUBLIC • WORKS REVIEW WORKSHEET 12 WASHINGTON PROJECT ADDRESS: 4920 24TH AVE W Permit#: B2106-046 TENANT: [TenName] DESCRIPTION OF WORK: CONSTRUCT NEW(2)STORY SFR WITH ATTACHED GARAGE (1/K 2e 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) S// ITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation& Cost Est.) .yew Connection to main plus connections to building P"`ew Connection, Size -0 Per Cost Estimate ❑Alteration 's' ;ter Only, Size - 0 Per Cost Estimate ❑ Repair r'Water System Development Fee Total: $ Pap-off,quantity l7 ewer System Development Fee Total: $ #econnection to stub ater Service Line(behind meter), Size CI Backwater Valve Backflow Prevention (Outside Building): 0-RPBA or 0 DCVA 0 NOT REQUIRED � n 1 1 � ,tit� 0 NOT REQUIRED 0 '05Explanation/ Utility Permit#: L' Explanation/Utility Permit#: 1111 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 " Detect Meter Only, Service Size ❑Water System Development Fee Total:$ Cl ilackflow Prevention (Outside Building): 0 DCDA o jeackflow Prevention (Outside Building): 0 DCVA MNOT REQUIRED lerNIOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: TER DEPARTMENT COST ESTIMATE NEEDED Reviewer to send cost estimate request to Water Department) A ) es, Quantity , See attached for reference. JJ NOT REQUIRED reztR,a, ��v "1 Z" - I "Am Io re) Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) ❑ ackflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA(for Domestic service) El DCDA(for Fire service) VOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) ST RMW ER SYSTEM DEVELOPMENT FEES: T FFIC MITIGATION FEES: YES, ee Attached for c Iculations/credit `�1. (ES,Traffic Mitigation Total: $ 3 I17. 00 To be added on PW 1 01 i To be added on U 6-V I i '^ "ae Attached for calculation!/credit Quantity charged_1010643tOF Quantity_clyirged SF i u REQUIRED $QTY is El Ground only Tailharrd rfaces QTY is o0 only 0 all hard surfaces �,Ll cca _U 1� (Ar &atm t�� , NOT REQUIREDJ � /a73' - ❑ 2 IWJVj ¢,1r (� � �, Ftern'as +D Y Additional Checklists: mitAt r'Caduti• A II 1 RESS LETiaik. o2 UIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ES—TYPE.Wr ❑ DUPLEX ❑ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL ❑ See A . e• etter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ❑ Digital copy att. hed to permit record, Permit# ❑ Saved to Addres older in Development Tech File ❑ NOT REQUIRED ,(� �� ' �,�" �� sS _i� Fl"E SPRINKLERS REQUIRED? 464( r 1'-'y "2' r >�''vi' 'Irti�� QLA 001 I5 S—Type �e J \ See I NO REQUIRED tii_Eaufk.F.,,o7 - on: .... � �� 1-T ) 5 6v----t- No-f-- LO? Z PILIC WORKS PER IT QUIRE ? YES, P�eJF�it#PW' ' Stormwater S Ta ompleted in TRAKiT ADA Tab Completed in TRAKiT 0 Inspections dded in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: j---- Date: 1 b Z Worksheet Checked By: "71---- K- 1--- Date: 8�� `I i ze Z--I REVISED 11/27/2019