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E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 9502 18TH AVE W UNIT K Permit#: B2310-032 <br /> DESCRIPTION OF WORK: NEW SFR-REF RB2306-001 UNIT K <br /> PW Reviewer to select all that apply below: <br /> Idtility Permits (Note:Permit Technicians to Create Utility it for Sewer, ter,Fire,and Irrigation,as selected below) <br /> SANITARY SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&)[E:] VA <br /> ® New Connection to main plus 1 connections to building ❑ New Connection,Size - ❑Per Cost Est <br /> ❑ Alteration ® Meter Only,Size 3/4-inch-❑ Per Cost Estima <br /> ❑ Repair ® Water System Development Fee Total:$4,311 <br /> ❑ Cap-off,quantity ® Sewer System Development Fee Total:$5,580 <br /> ❑ Reconnection to stub ❑ Water Service Line(behind meter),Size <br /> ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):❑RPNOT REQUIRED �3�� �1 ' ❑ NOT REQUIREDy1 /Explanation/Utility Permit# ` 2j Ex lanation Utilit Permit# ,L 23(Z , <br /> IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection,Size ❑ New Connection,Size -❑ Per Cost Estimate <br /> ❑ Meter Only,Size ❑ %"Detect Meter Only,Service Size <br /> ❑ Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building):❑DCDA <br /> ❑ Backflow Prevention(Outside Building):❑DCVA ® NPT-RECTU-IRED <br /> ® NOT-REQUIRED Explanation/Utility Permit# <br /> xplanation/Utility Permit# <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Quanti .See attached for reference. <br /> ® NOT UIRED <br /> Plumbing Permits(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Backflow Prey .on(Inside Building): ❑DCVA(for Domestic service) ElRPBA(for Domestic service) ElDCDA(for Fire service) <br /> ® NOT UIRED <br /> Building Permits(Note:Permit Technicians to add all items selected below to associated Buildin ermit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> ❑ YES,❑See Attached for calculations/credit ® YES,Traffic Mitigation Total:$4,993.00 <br /> To be added on PW To be added on <br /> See Attached for calculations/credit <br /> Quantity charged SF Quantity charged SF ❑ NOT REQUIRED <br /> QTY is❑Ground only❑all surfaces Q$ <br /> {JIBED TY is❑Roof only❑all surfaces n 3C O <br /> !� <br /> ® NOT <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address),print out Address Letter from TRAKiT Print Menu and include) <br /> ® YES-TYPE:❑SFR ❑DUPLEX ❑ADU ❑ INFILL DWELLING ❑MULTI-FAMILY ❑COMMERCIAL <br /> ®See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits,scan one copy to Jeffrey Marks) <br /> ®Digital copy attached to permit record,Permit 0523 b" 032, <br /> ®Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑ YES Type <br /> ® NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ❑ YES,Permit#PW <br /> ❑Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAMT [-]Inspections Added in TRAKiT <br /> ® NOT REQUIRED <br /> Worksheet Completed By: /eyre Date:10/12/2023 <br /> Worksheet Reviewed By: 7&d Date:10/12/2023 <br />