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EV E R E T T <br />PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON 94,4- <br />PROJECT ADDRESS: -9M 18TH AVE W UNIT A Permit #: B2308-057 <br />DESCRIPTION OF WORK: NEW TOWNHOUSE COMMUNITY - BENTON SQUARE BUILDING A, UNIT A <br />PW Reviewer to select all that apply below: <br />Utility Permits (Note: Permit Technicians to Create Utility Permit forSewer, W er, 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 1-INCH DOM/FIRE - ❑ Per st Estima e 1 <br />L{S� <br />❑ Repair ® Water System Development Fee Total: $4 1.00 -• <br />(E] <br />❑ Cap -off, qua ity ❑ Sewer System Development Fee Total: <br />❑ Reconne on to stub Water Service Line (behind meter), Size <br />❑ Backw er Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA ❑ D A <br />® NOT EQUIRED NOT REQUIRED <br />E lanation/Utility Permit # MUKILTEO SEWER 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 ❑ %" Detec Meter Only, Service Size <br />❑ Water System velopment Fee Total: $ ❑ Bac Prevention (Outside Building): ❑ DCDA <br />❑ Backflow P ention (Outside Building): ❑DCVA ® REQUIRED <br />® NOT RE IRED Explanation/Utility Permit # <br />Expl ation/Utility Permit # <br />WATER DE/ COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) <br />-- <br />❑ Yes, QSee attached for reference. <br />® NOT R <br />Plumbing Permits ote: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) <br />Backflow Preve ion (Inside Building): ❑DCVA (for Domestic service) ❑RPBA for Domestic service) ❑ DCDA (for Fire service) <br />® NOT REOXIRED <br />Building Armits (Note: Permit Technicians to add all items selected below to associated Building ermit) <br />5 2 <br />STORMWATER SYSTEM DEVELOPMENT FEES: <br />❑ YES, ❑See Attached for calculations /credit <br />TRAFFIC MITIGATION FEES: <br />®YES, Traffic Mitigation Total: $4 9 0 <br />To be added on PW To be adde <br />❑See Attached for calcul ons/credit <br />Quantity charged SF Quantity charged SF <br />NOT REQUIRED <br />QTY is ❑ Gro only ❑ all surfaces CITY is ❑ Roof only ❑ all surfaces <br />$ $ <br />Z.2 rOC <br />�J <br />® NOT UIRED <br />.01 <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 #B2308-057 <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 THROUGH <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: !4lad Date:OSI2CJ/2023 <br />Worksheet Reviewed By:,&� Date: 08-29-2023 <br />