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E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 1831 100TH AVE W UNIT C Permit#: B2308-082 <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE COMMUNITY-BENTON SQUARE BUILDING E,UNIT C <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, ater,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 ❑ New Connection,Size - ❑Per Cost Estimate <br /> ❑ Alteration ® Meter Only,Size i-INCH DOM/FIRE-❑ Per Cost Estima)te <br /> ❑ Repair ® Water System Development Fee Total:$4,311.00 <br /> ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ <br /> ❑ Reconnection to stub ❑ Water Service Line(behind meter),Size <br /> ❑ Bac ater Valve ❑ Backflow Prevention(Outside Building):❑RPBA ❑DC <br /> OT REQUIRED ❑ NOT REQUIRED ( ' _Q-�Explanation/Utility Permit#MUKILTEO SEWER Explanation/Utility Permit# Vl 1�(� !� <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 eter Only,Service Size <br /> ❑ Water System Development Fee Total:$ ❑ �kcfrevention(Outside Building):❑DCDA <br /> ❑ Backflo revention(Outside Building):❑ DCVA ® UIRED <br /> ® N EQUIRED n/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 /> ❑ Yes, antity ,See attached for reference. <br /> ® IKT REQUIRED <br /> Plumbing Permits(Note:Permit Technicians to add al/items selected below to Plumbing Permit for items inside building only) <br /> Backflow Pre tion(Inside Building): ❑ DCVA(for Domestic service) ❑RPBA(for Domestic service) ❑DCDA(for Fire service) <br /> ® NOT.PZQUIRED <br /> Building Permits(Note:Permit Technicians to add all items selected below to associated Buildin Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> ❑ YES,❑See Attached for calculations/credit ® YES,Traffic Mitigation Total:$4,993.00 <br /> To be added on PW To be added on ❑See Attached for calculations/credit <br /> Quantity charged SF Quantity charged SF ❑ NOT REQUIRED <br /> $CITY is❑Ground only❑ -7 30 I all surfaces CITY is❑Roof only❑all surfaces n <br /> O <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#B2308-082 <br /> ®Saved to Address Folder in Development Tech File <br /> NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ® YES Type NFPA 13D <br /> ❑ NOT REQUIRED <br /> Reason:TOWNHOUSE FLOW THROUG <br /> UBLIC 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: 74d Date:0910119093 <br /> Worksheet Reviewed By:,�� Date:09-01-2023 <br />