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• a <br /> ., E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> mom WASHINGTON <br /> PROJECT ADDRESS: 3620 36TH PL NE Permit#: B2201-018 <br /> TENANT: CEDAR GROVE COMPOSTING. <br /> DESCRIPTION OF WORK: BUILD A 8000 SQ FT EQUIPMENT MAINT BLDG <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 ❑ New Connection, Size -❑ Per Cost Estimate <br /> ❑ Alteration ❑ Meter Only, Size -❑ Per Cost Estimate <br /> ❑ Repair El Water System Development Fee Total: $ _ <br /> ❑ Cap-off, qu tity El Sewer System Development Fee Total:$ <br /> ❑ Reconn ion to stub ❑ Water Se •ce Line(behind meter), Size <br /> ❑ Back ter Valve ❑ Back Prevention (Outside Building): ❑RPBA ❑ DCVA <br /> ® NO REQUIRED ® N REQUIRED <br /> Explanation/Utility Permit# Explanation/Utility Permit# <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size ❑ New Conne tion, Size _-El Per Cost Estimate <br /> ❑ Meter Onl , Size ❑ 3/<" Dete eter Only, Service Size <br /> ❑ Water S stem Development Fee Total: $ ❑ Bac ow Prevention (Outside Building): ❑DCDA <br /> ❑ Back w Prevention(Outside Building): ❑DCVA ® REQUIRED <br /> ® N REQUIRED Explanation/Utilitv Permit# <br /> E planation/Utility Permit# DCVA for fire per K2202-007.Applicant is to connect <br /> downstream of existing RPBA in private property. <br /> WATER PARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water De artment) <br /> ❑ Ye , Quantity , See attached for reference. <br /> T REQUIRED <br /> Plumbing Permits(Note:Permit Technicians to add all items selected below to Plumbing Permit-for items in ide building only) <br /> Backflow Prevention(Inside Building): ❑DCVA(for Domestic service) ❑RPBA(for Domestic s rvice)�� D A(for Fir service) <br /> ❑ NOT REQUIRED � p � �-(�JQO' <br /> ilding Permits (Note:Permit Technicians to add all items selected below to associated Building Perm' <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MIT, ATION FEES: <br /> ❑ YES, ❑ See Attached for calculations/credit ❑YES,T is Mitigation Total:$ <br /> To be added on PW To be added on %See Attached for calculations/credit <br /> Quantity c rged SF Quantity charged SF i1"1OT REQUIRED <br /> QTY is Ground only❑all surfaces QTY is❑ Roof only El all surfaces <br /> ® NO REQUIRED 4p,,p I icJ "ks PW z 20 V- o 10 <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (ne-' assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ® YES—TYPE: ❑SFR ❑ DUPLEX a ADU ❑ INFILL DWELLING ❑ MULTI-FAMILY ® COMMERCIAL <br /> ® See Attached Letter,2 copies (Per%it Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> ® Digital copy attached to permit re ard, Permit# <br /> ®Saved to Address Folder in Dev:opment Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRI LERS REQUIRED? <br /> ® YES— ype NFPA13 <br /> El NO REQUIRED <br /> Reas : P <br /> PUBLIC WOR :PERMIT REQUIRED? • <br /> ® YES, Per -t#PW 2204-010 <br /> El Stor water NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT El Inspections Added in TRAKiT <br /> ❑ NOT r QUIRED / <br /> Worksheet Completed By: .,4lj�y Date: 01- 2 2— 2c 2.Z_. <br /> Worksheet Completed By: / Date: <br /> REVISED 12/22/2021 <br />