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EVE R E T T <br />PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON 4g14- <br />PROJECT ADDRESS: 98t418TH AVE W UNIT D Permit #: B2308-060 <br />DESCRIPTION OF WORK: NEW TOWNHOUSE COMMUNITY - BENTON SQUARE BUILDING A, UNIT D <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 Cost Estimate <br />❑ Repair ® Water System Development Fee Total: $4 3 .00 <br />tity ❑ Sewer System Development Fee Total: $ � S� ' d <br />❑ Ca/anation/Utility <br />❑ Reto stub ❑ Water Service Line (behind meter), Size <br />❑ Balve ❑ Backflow Prevention (Outside Building): ❑ RPBA ❑ DCV <br />® NOD ❑ NOT REQUIRED <br />Ex Permit# MUKILTEO SEWER Explanation/Utility Permit#U—?-40( -0(0 <br />IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br />❑ New Connection, Size ❑ New Connecti n, Size - ❑ Per Cost Estimate <br />❑ Meter Only, Size ❑ V" Detect ter Only, Service Size <br />❑ Water Syst Development Fee Total: $ ❑ Backflo revention (Outside Building): ❑ DCDA <br />❑ Backflo revention (Outside Building): ❑ DCVA ® NOT QUIRED <br />E NOT R UIRED E anation/Utility Permit # <br />ExpI ation/Utility Permit # <br />WATER DEPARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) <br />❑ Yes, Q tity _See attached for reference. <br />E NO,jnEQUIRED <br />Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br />Backflow P vention (Inside Building): E]DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑DCDA (for Fire service) <br />E NO REQUIRED <br />Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) <br />STORMWATER SYSTEM DEVELOPMENT FEES: <br />TRAFFIC MITIGATION FEES: <br />❑ YES, ❑ See Attached for calculations / credit <br />E YES, Traffic Mitigation Total: $ 93.00 <br />To be added on PW To be added on <br />❑ See Attached for calc ations/credit <br />Quantity charged SF Quantity charged SF <br />❑ NOT REQUIRED <br />s5p(0% <br />QTY is ElGround only ❑ all surfaces QTY is ❑ Roof only ❑ all surfaces <br />1- <br />E NOT EQUIRED <br />Additional Checklists: <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />E YES -TYPE: E SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />E See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />E Digital copy attached to permit record, Permit #B2308-060 <br />E Saved to Address Folder in Development Tech File <br />❑ NOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />E 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 TRAMT <br />E NOT REQUIRED <br />Worksheet Completed By: 7-1f4d IkA*fie Date: 09/29/2023 <br />Worksheet Reviewed By:19Date: Off— 29-2023 <br />