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E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 7418 HEATHER WAY Permit#: B2105-011 <br /> TENANT: [TenName] <br /> DESCRIPTION OF WORK: BUILD 20'X32'STORAGE BUILDING W/CONCRETE SLAB FOUNDATION <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 0 New Connection, Size -0 Per Cost Estimate <br /> ❑Alteration 0 Meter Only, Size - 0 Per Cost Estimate <br /> ❑ Repair 0 Water System Development Fee Total:$ <br /> ❑ Cap-off, quantity 0 Sewer System Development Fee Total: $ <br /> ❑ Reconnection to stub 0 Water Service Line(behind meter), Size <br /> ❑ ackwater Valve ❑ ackflow Prevention (Outside Building): 0 RPBA or❑ DCVA <br /> Et OT REQUIRED OT 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 0 New Connection, Size -❑ Per Cost Estimate <br /> ❑ Meter Only, Size ❑�34' Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ 0 ackflow Prevention (Outside Building) 0 DCDA <br /> ackflow Prevention (Outside Building): 0 DCVA I NOT REQUIRED <br /> NOT REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#. <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) <br /> V❑ es, Quantity , See attached for reference <br /> NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ❑ ackflow Prevention (Inside Building): 0 DCVA (for Domestic service) 0 RPBA(for Domestic service) 0 DCDA (for Fire service) <br /> is <br /> NOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> ST/ORMW�ITER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> YES, See Attached for calculatiory.5/credit 1C ❑YES,Traffic Mitigation Total: $ <br /> To be added on PW LJ O►7- C7`j To be added on .2 — L I �� See Attached for calculations/credit <br /> Quantity arged I ' SF Quantity c arged ^2r�� SF NOT REQUIRED <br /> QTY is''Ground on l all hard surfaces QTY is ERo•f only— ' •ard surfaces <br /> $ 1 $ , t- <br /> ❑ NOT REQUIRED .� � • ' <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# <br /> ❑ Saved to Address Folder in Development Tech File <br /> NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑ ES—Type <br /> RIOT REQUIRED <br /> Reason: <br /> VILIC WORKS PERMIT REQUIRE? <br /> ES, Per it#PW'7 0— al- <br /> 'Stormwater NP EST'ab ompleted in TRAKiT DADA Tab Completed in TRAKiT 0 Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED cc11 <br /> Worksheet Completed By. ` T Date -7/3V ZGG <br /> Worksheet Checked By. - -�. -- ��- F 1' Date O S jo"L ! 1�2-I <br /> REVISED 11/27/2019 <br />