1728 100TH ST SW 2024-01-04 - Laserfiche WebLink

`EVERETT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 1728 S 1730100TH ST SW Permit M PW2207.023 DESCRIPTION OF WORK: SITE WORK FOR DAKOTA WAY BLA -LOT C PIN Reviewer to select all Mat apply below: UNllly Permits (Nose: Pamld Technicians d Create UMlty Permit for Sewer. Water, Fire, and Inflation, as selected below) SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation 8 Cost Ed.) • New Connection to main plus _ connections W building ❑ New Connection, Size 314- ❑ Per Cost Estimate ❑ Alteration ❑ Meter Only, Size= ❑ Per Cost Estimate ❑Repair Water System Development Fee Total:$ Cap -of, quantity ❑ Sewer System Development Fee Total: $ Reconnection to stub water Service Line (behind] meter), Size Backwater Valve ❑ Backflow Prevention(Oulside Building): ORPBA ❑DCVA E NOT REQUIRED E NOT REQUIRED FxplanationNUlity Permit #MWWD SEWER Explanation/Utility Permit# ON BUILDING PERMITS IRRIGATION SERVICE (Not Including Cost Estimates) FIRE SERVICE.(Attach Cost Estimate/ Request lor Reference) New Connection, Size _ ❑ New Connection, Size= ❑ Per Cost Estimate Meter Only, Size _ 3W Detect Meter Only, Servica Size _ Water System Development Fee Total: $_ ❑ Backfiow Prevention (Outside Building). ODGDA ❑ Beckflow Prevention (Outside Building) ODCVA E NOT REQUIRED ® NOT REQUIRED ExplanationlUtility Permit # ExplanatioMltility Permit # WATER DEPARTMENT COST ESTIMATE NEEDED-(llyes, PW Reviewer to send] cost estimate request to Water Department) Yes, Quantity _, See attached] for reference. ® NOT REQUIRED Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing PemtR-for items made building only) Backflow Prevention (Inside Building): QDCVA(rcr Domediicsoni QRPBA(irDmasffcssrvice) pDQDApon Fhws,mire) NOT REQUIRED Building Permits (Nola: Permit Technicians to add all items sa ectedbalow to assoclated Bwdirig Perm#) STORMWATER SYSTEM DEVELOPMENT FEES: RAFFIC MITIGATION FEES: ® YES, E See Attached for calculations I credit YES, Traffic Mitigation Total: $ON B PERMI To be added on M220M23 To be added on _ []&a Attached for calculationsrcredit Quantlycharged9�`SF Quantity charged_SF NOT REQUIRED QTY is ❑ Ground only E all surfaces QTY is ❑ Root only ❑ all surfaces $1311.35 $000 NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED7 (if yes (new assigned address), print out Accress Letter from TRAIOT Print Menu and include) ❑YES —TYPE: ❑SFR []DUPLEX ❑ADU ❑ INFILL DWELLING []MULTI -FAMILY []COMMERCIAL ❑ Sea Attached] Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one mpyto Jeffrey Marks) ❑ Digital copy attached] to permit record, Penmtt#_ ❑ Saved] to Morass Folder in Development Tech File E NOT REQUIRED FIRE PRINKLN ERA Il REDi �f VE5—Type E NOT REQUIRED Reason: P BLV W RK PERMIT REi IRED4 VES. Peonit # PW22U7-023 E Stomrwffier NPDES Tab Completed] in TRAKeT E ADA Tab Completed] In TRAKT E Inspections Atldetl in TRAKT NOT REQUIRED Worvshest completed By: JF^-'D Date: 02/28/2023 Workshom Completed By: Data aaw5[o ra07402: