Laserfiche WebLink
E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 9502 18TH AVE W UNIT E Permit#:B2310-049 <br /> DESCRIPTION OF WORK: NEW SFR-REF RB2306-005--UNIT E <br /> PW Reviewer to select all that apply below: <br /> tility Permits (Note:Permit Technicians to Create Utility rmit for Sewer, er,Fire,and Irrigation,as selected below) <br /> SANITARY SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) <br /> ® New Connection to main plus 1 connections to building ❑ New Connection,Size - ❑Per Cost Estimate <br /> ❑ Alteration ® Meter Only,Size 3/4-inch-❑Per Cost Estimate <br /> ❑ Repair ® Water System Development Fee Total:$4 33J'00 <br /> ❑ Cap-off,quantity ® Sewer System Development Fee Total:$5,980.00 LJ 02& 6 <br /> ❑ Reconnection to stub ❑ Water Service Line(behind meter),Size <br /> ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):❑RPBA ❑DCVA <br /> ❑ NOT REQUIRED ❑ NOT REQUIRED Explanation/Utility Permit#�'40Z. —� Explanation/Utility Permit#1'LAOZ _ocs <br /> IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Requestfor Reference) <br /> ❑ New Connection,Size ❑ New Connection,Size -❑Per Cost Estimate <br /> ❑ Meter Only,Size ❑ %"Detect eter Only,Service Size <br /> ❑ Water System velopment Fee Total:$ ❑ Backflo revention(Outside Building):❑DCDA <br /> ❑ Backflow evention(Outside Building):❑DCVA ® N EQUIRED <br /> ® NOT QUIRED Explanation/Utility Permit# <br /> lanation/Utility Permit# <br /> WATER DEPARTM COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Qua <br /> n ' See attached for reference. <br /> ® NOT.REQUIRED <br /> Plumbing Permits( te:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Backflow Preve on(Inside Building): ❑DCVA(for Domestic service) ❑RPBA(for Domestic service) ❑DCDA(for Fireserwc <br /> ® NOT RE IRED <br /> Building Permits(Note:Permit Technicians to dd all items selected below to associated Buildin Permit) SSQ2 . O <br /> STORMWATER SYSTEM DEVELOPMENT S: TRAFFIC MITIGATION FEES: 1 <br /> ❑ YES,❑See Attached :F' <br /> calcul ns/credit ®YES,Traffic Mitigation Total:$4 9 <br /> To be added on PW To be added on ❑See Attached for calcul ions/credit <br /> Quantity charged Quantity charged SF ❑ NOT REQUIRED <br /> QTY is❑Groun my❑all surfaces QTY is❑Roof only❑all surfaces Q <br /> ® NOT R IRED Reviewed under PW2211-021 <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#62310-049 <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 TRAKiT ❑Inspections Added in TRAKiT <br /> ® NOT REQUIRED <br /> Worksheet Completed By: /Mlri Date:1011319093 <br /> Worksheet Reviewed By: ?"14d Ij AIAOQ Date:1011312023 <br />