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EVE RETT PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON 44 (4 <br /> PROJECT ADDRESS: -981-41718TH AVE W UNIT G Permit#: B2308-063 <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE COMMUNITY-BENTON SQUARE BUILDING A,UNIT G <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit forSewer, Wat ,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 - El Per Cost Estimate <br /> ❑ Alteration ® Meter Only,Size 1-INCH DOM/FIRE-❑Per Cost Estimate <br /> ❑ Repair ® Water System Development Fee Total:$4,311.00 <br /> ❑ Cap-off,qu tity ❑ Sewer System Development Fee Total:$ <br /> ❑ Reconne ion to stub ❑ Water Service Line(behind meter),Size <br /> ❑ Backw er Valve E] Backflow Prevention(Outside Building):❑ RPBA ❑DCV <br /> ® NOT EQUIRED ❑ NOT REQUIRED 1 <br /> E anation/Utility Permit#MUKILTEO SEWER Explanation/Utility Permit#U 290( a.3 <br /> IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection,Size New Connection,Size❑ -El Per Cost Estimate <br /> ❑ Meter Only,Size ❑ %"Detect Meter Only,Service Size <br /> ❑ Water System Development Fee Total:$ ❑ Bac ow Prevention(Outside Building):❑DCDA <br /> ❑ BKCkKf[ Prevention(Outside Building):❑DCVA ® T REQUIRED <br /> ® NUIRED Explanation/Utility Permit# <br /> Eon/Utility Permit# <br /> WATER DEPA TMENT COST ESTIMATE NEEDED-(if yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Q,pdntity ,See attached for reference. <br /> ® NO EQUIRED <br /> Plumbing Permits(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Backflow Pre ion(Inside Building): ❑ DCVA(for Domestic service) ❑RP BA(for Domestic service) ❑ DCDA(for Fire service) <br /> ® NOT QUIRED <br /> Building Permits(Note:Permit Technicians to add all items selected below to associated Building 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❑all surfaces CITY is❑Roof only❑all surfaces <br /> ® NOT RE061RED <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#B2308-063 <br /> ®Save o Address Folder in Development Tech File <br /> ❑ NOT QUIRED <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: 744d Date:091129/2023 <br /> Worksheet Reviewed By:,�� Date:091-29-2023 <br />