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EVERETT PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 1403 ROCKEFELLER AVE Permit#: B2305-016 <br /> DESCRIPTION OF WORK: EXTEND LOWER-LEVEL GARAGE WITH ROOFTOP TERRACE AT MAIN LEVEL <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 El New Connection,Size - El Per Cost Estimate <br /> El Alteration ❑ Meter Only,Size -❑Per Cost Estimate <br /> El Repair El Water System Development Fee Total:$ <br /> El Cap-off,quantity ❑ Sewer System Development Fee Total:$ <br /> El Reconnection to stub ❑ Water Service Line(behind meter),Size <br /> ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):❑RPBA ❑DCVA <br /> El 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 -El Per Cost Estimate <br /> ❑ Meter Only,Size ❑ %"Detect Meter Only,Service Size <br /> El Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building):❑ DCDA <br /> ❑ Backflow Prevention(Outside Building):El 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 ads :II items selected below . : dated Buildg Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES:, � TRAFFIC MITIGATION FEES: <br /> El YES,El See Attached for calculations/c -dit 1,2� `� ❑YES,Traffic Mitigation Total:$ <br /> To be added on PW2309-008 To be added on B2305-016 V See Attached for calculations/credit <br /> Quantity charged 986SF Quantity charged 554SF ® NOT REQUIRED <br /> QTY is to Ground only❑all surfaces QTY is® Roof only❑all surfaces <br /> $264.05 $148.36 <br /> ❑ NOT REQUIRED <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new ass:.ed address),print out Addr: s Letter from TRAKiT Print Menu and include) <br /> El YES—TYPE:❑SFR El DUPLEX ❑AD ❑INFIL DWELLING ❑MU I-FAMILY El COMMERCIAL <br /> El See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits,scan one copy to Jeffrey Marks) <br /> El Digital copy attached to permit record,Permit# <br /> El 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#PW2309-008 <br /> Stormwater NPDES Tab Completed in TRAKiT ®ADA Tab Completed in TRAKiT ®Inspections Added in TRAKiT <br /> El NOT REQUIRED <br /> Worksheet Completed By: 'Wad71,e400 Date:O9/08/2023 <br /> Worksheet Reviewed By:ALr 7 � y4 Date: 0.9 0 68- ,z. 3 <br />