1722 127TH PL SE 2025-01-14 - Laserfiche WebLink

• 11•1 EVERETT WASHINGTON • PUBLIC WORKS REVIEW WORKSHEET PROJECT ADDRESS: 1722 127TH PL SE Permit#: B2010-046 TENANT: [TenName] DESCRIPTION OF WORK: CONSTRUCT 24'X 32°GARAGE 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 0 New Connection, Size -❑ Per Cost Estimate ❑Alteration 0 Meter Only, Size -❑ Per Cost Estimate ❑ Repair ❑Water System Development Fee Total:$ ❑Cap-off,quantity 0 Sewer System Development Fee Total: $ ❑ Reconnection to stub 0 Water Service Line(behind meter),Size ❑Backwater Valve 0 Backflow Prevention(Outside Building): ❑ RPBA or 0 DCVA )(NOT REQUIRED NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) ❑ New Connection,Size 0 New Connection, Size -0 Per Cost Estimate ❑ Meter Only,Size 0 3/4"Detect Meter Only,Service Size ❑Water System Development Fee Total:$ 0 Backflow Prevention(Outside Building): 0 DCDA ❑ Backflow Prevention(Outside Building): ❑ DCVA RNOT REQUIRED KNOT 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. CS(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): 0 DCVA(for Domestic service) 0 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: RYES, Stormwater Total:$ 5 t®. $ ❑YES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) 0 See Attached for calculations/credit • II Hard Surface Fees to be added to Permit# iW 2-0(2-01( 'NOT REQUIRED ✓ See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑YES-TYPE: 0 SFR 0 DUPLEX ❑ADU 0 INFILL DWELLING 0 MULTI-FAMILY 0 COMMERCIAL ❑ See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) ❑ Digital copy attached to permit record, Permit# ❑ Saved to Address Folder in Development Tech File KNOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES-Type [KNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? BYES, Permit#PW 2.0 tAt ❑ Stormwater NPDES Tab Completed in TRAKiT 'ADA Tab Completed in TRAKiT WInspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: Worksheet Checked By: Date: REVISED 11/27/2019