11807 SILVER LAKE DR 2024-01-05 - Laserfiche WebLink

EVERETT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 11807 SILVER LAKE DR Permit#: PW2204-028 TENANT: CITY OF EVERETT DESCRIPTION OF WORK: SILVER LAKE TRAIL PROJECT PWRewawerto select all that apply below: Utility Permits (Note: Permit Technicians to Create Utility Permif for Sewer, Water Fire, and Irrigation, as second below) SANITARY SEWER: DOMESTIC WATER SERVICE: (A#ach Calculation B Cost Est.) New Cannecion to main plus connections to building ❑ New Connection, Size -❑ Per Cost Estimate Alteration ❑ Meter Only, Size= ❑ Per Cost Estimate ❑ Repair ❑ Water System Development Fee Total: $_ ❑ CapoB, quantity ❑ Sewer System Development Fee Total: $ )] Reconnection to stub ❑ Water Service Line (behind meter), Size �I Backwater Valve ❑ Backilow Prevention (Outside Building): ORPBA E] DCVA NOT REQUIRED R& NOT REQUIRED in: lanatiomUtilily Permit# ETiandoi llty Permit# IRRIGATION SERMCE:(Not Including Cost Estimates) FIRE SERVICE:(AOech Cost Estmate/Request/or Refemrma) New Connection, Size 7 New Connection, Size = ❑ Per Cast Estimate Meter Only, Size _ ❑ 33/V Doled Meier Only, Service Size Water System Development Fee Total:$ ❑ SeCkgOW Prevention (Outside Building): EIDCDA ❑ Backfire Protection (Outride Building): ODCVA RNOTREQUIRED NOT REQUIRED Explanation lillly Permit# ExplanationUtilily, Permit# WATER DEPARTMENT COST ESTIMATE NEEDED -(If yes, FIVRevlewer far send cost estimate request to Water Department) Yes, Quantity _, Sae a0ached for reference. NOT REQUIRED /Umbing Permits (Note: Feel Technicians to add all items salecfadbelow to Plumbing Permi(lorlfemsa side building onill Designer Prevention (Inside Building): E]DCVAllarOamesficservka) ORPBA(Mr Oomea#csondirs) ODCDAgbrFlreservi NOT REQUIRED Dilding Perm%ts (Note: Permit iechrJCHns ro add alllroms selected belowb assaiafed Buihlbg Permit) ST RMWATER SYSTEM DEVELOPMENT FEES rRAFFIC MITIGATION FEES: YES, Sea Attached far calculations l credit ❑ YES, Traffic Mitigation Total:$ To be added on PWZZis4oi8 To be added on OSee Attached for calculationslcredit Quantity charged S�NSF Quantity charged SF A40r REQUIRED QTY is Ground only ❑ all surfaces QTY is ❑ Roof only ❑ all surfaces $+ 1 mt, El NOT REQUIRED Additional Checklists., ADDRESS LETTER RE UIRED? (If ties(newasakpled address), printout Address Letter from TRAKiT Print Menu and include) VES—TYPE: ❑SFR ❑DUPLEx ❑ADU ❑INFILLDWELUNG ❑MULTI -FAMILY ❑COMMERCIAL ❑ See Attached Leber, 2 copies (Pemut Roche to laws one copy to applicant withpemuts, scan are copy to Jeffrey Marks) ❑ Digital copy alllched to permit record Permit It Saved to Address Folder in Development Tech File NOT REQUIRED FIRE SPRINKLERS REQUIRED? YES —Type_ NOT REQUIRED aeon: LICWORKS PERMIT REQUIRED? ViPD Stif mmwa er NPDES Tab Completed In TRAI(IT [QADA Tab Completed in TRAKiT PAInapections Atltletl in TRAKIT NOT REQUIRED Workshed Completed By: � Date: -7 /y I'd7 Worksheet Completed By: Date: