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EV E R E T T <br />PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />PROJECT ADDRESS: 9502 18TH AVE W UNIT Q Permit #: B2310-030 <br />DESCRIPTION OF WORK: NEW SFR- REF RB2306-005--UNIT Q <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 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: $4,311.00 <br />❑ Cap -off, quantity ® Sewer System Development Fee Total: $5,580.00 <br />❑ Reconnection to stub ❑ Water Service Line (behind meter), Size <br />❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA ❑ DCVA <br />❑ NOT REQUIRED ❑ NOT 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 ❑ 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 ® NOT REQUIRED <br />® NOT REQUIRED Explanation/Utility Permit # <br />Explanation/Utility Permit # <br />WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) <br />❑ Yes, 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 />Backflow Prevention (Inside Building): ❑ DCVA(for Domestic service) ❑ RPBA(for Domestic service) ❑ DCDA (for Fire service) <br />® NOT REQUIRED <br />Building Permits (Note: Permit Technicians to add all items selected below to associated Building ermit) <br />STORMWATER SYSTEM DEVELOPMENT FEES: <br />TRAFFIC MITIGATION FEES: <br />❑ YES, ❑ See Attached for calculations / credit <br />® YES, Traffic Mitigation Total: $4,993.00 <br />To be added on PW To be added on <br />❑ See Attached for calculations/credit <br />Quantity charged SF Quantity charged SF <br />❑ NOT REQUIRED <br />is ❑ Ground only El all surfaces CITY is ❑ Roof only El all surfaces <br />Z� l p— D <br />$TY <br />® NOT REQUIRED IjOV6,Qd Ott <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 #, g52.3 t.cj - cs 3a <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: 7e=e Date:1011919093 <br />Worksheet Reviewed By: 7"d Date:10119190-93 <br />