3619 UPLAND AVE 2024-09-17 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 3619 UPLAND AVE Permit#: U2406-024 DESCRIPTION OF WORK: Adding new water service connection for new lot. PW Reviewer to select all that apply below: Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water,Fire,and Irrigation,as selected below) SANITARY SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) ❑ New Connection to main plus connections to building ® New Connection,Size 3/4-inch(minus meter)- ❑Per Cost Estimate ❑ Alteration ❑ Meter Only,Size -❑ Per Cost Estimate ❑ Repair ❑ Water System Development Fee Total:$ ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ ❑ Reconnection to stub ❑ Water Service Line(behind meter),Size ❑ Backwater Valve ❑ Backflow Prevention(Outside Building): ❑ RPBA ❑ DCVA ® NOT REQUIRED ❑ NOT REQUIRED Explanation/Utility Permit# Explanation/Utility Permit#$3732-$618=$3114 IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) ❑ New Connection,Size ❑ New Connection,Size -❑ Per Cost Estimate ❑ Meter Only,Size ❑ %"Detect Meter Only,Service Size ❑ Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building): ❑ DCDA ❑ Backflow Prevention(Outside Building):❑ DCVA ® NOT REQUIRED ® NOT REQUIRED Explanation/Utility Permit# Explanation/Utility Permit# WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes,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 Permit for items inside building only) Backflow Prevention(Inside Building): ❑ DCVA(for Domestic service) ❑RPBA(for Domestic service) ❑DCDA(for Fire service) ® NOT REQUIRED Building Permits(Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ❑ YES,❑See Attached for calculations/credit ❑ YES,Traffic Mitigation Total:$ To be added on PW To be added on ❑See Attached for calculations/credit Quantity charged SF Quantity charged SF ® NOT REQUIRED QTY is❑Ground only❑all surfaces QTY is❑ Roof only❑all surfaces ® NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address),print out Address Letter from TRAKiT Print Menu and include) ❑ YES—TYPE:❑SFR ❑ DUPLEX ❑ADU ❑ INFILL DWELLING ❑ MULTI-FAMILY ❑COMMERCIAL ❑See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits,scan one copy to PWClerical@everettwo.gov) ❑ Digital copy attached to permit record, Permit# ❑Saved to Address Folder in Development Tech File ® NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES—Type ® NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑ YES,Permit#PW ❑Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ® NOT REQUIRED Worksheet Completed By: /PLR aGfooQ Date:06IM2024 Worksheet Reviewed By: Date: