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EV E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON 41314- <br /> PROJECT ADDRESS: -983-4"18TH AVE W UNIT B Permit#: B2308-058 <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE COMMUNITY-BENTON SQUARE BUILDING A,UNIT B <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 1-INCH DOM/FIRE-❑Per Co Estimate <br /> ❑ Repair ® Water System Development Fee Total:$4 3 .00 �-13r. <br /> ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ <br /> ❑ Reconnection stub ❑ Water Service Line(behind meter),Size <br /> ❑ Backwater alve ❑ Backflow Prevention(Outside Building):❑RPBA ❑DC <br /> ® NOT 55OUIRED ❑ NOT REQUIRED <br /> Ex nation/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,Si ❑ %"Detect Meter Only,Service Size <br /> ❑ Water Syst Development Fee Total:$ ❑ Backfl Prevention(Outside Building):❑ DCDA <br /> ❑ Backflo revention(Outside Building):❑DCVA ® N EQUIRED <br /> ® NOT QUIRED xplanation/Utility Permit# <br /> Ex anation/Utility Permit# <br /> WATER DEPART ENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Quan ' ,See attached for reference. <br /> ® NOT RED <br /> Plumbing Permi s(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Backflow Pre ntion(Inside Building): ❑ DCVA(for Domestic service) ❑RPBA(for Domestic service) ❑ DCDA(for Fire service) <br /> ® NOT UIRED <br /> Buildi g Permits(Note:Permit Technicians to add all items selected below to associated Bull di Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: JJ <br /> ❑ YES,❑See Attached for calculations/credit ®YES,Traffic Mitigation Total:$4 .00 <br /> To be added on PW To be added on ❑See Attached for calc i ions/credit <br /> Quantity charged SF Quantity charged SF ❑ NOT REQUIRED <br /> CITY is❑Ground only❑all surfaces CITY is❑Roof only❑all surfaces n{ <br /> JNOT � Z3og _oS® QUIRED <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#B2308-058 <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 TRAKT ❑Inspections Added in TRAKU <br /> ® NOT REQUIRED <br /> Worksheet Completed By: ! Date:Offle9/2023 <br /> Worksheet Reviewed By:,�G Date:Off—29-2023 <br />