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EVE R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 9916 18TH AVE W UNIT A Permit#: B2308-067 <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE COMMUNITY-BENTON SQUARE BUILDING B,UNIT A <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility P:��l <br /> e,and Irrigation,as selected below) <br /> SANITARYSEWER: STIC WATER SERVICE:(Attach Calculation&Cost Est.) <br /> ❑ New Connection to main plus connections to builw Connection,Size - ❑ Per Cost Estimate <br /> ❑ Alteration ter Onl Size 1-INCH DOM/FIRE- <br /> Y, ❑Per Cost Estimate <br /> ❑ Repair ater System Development Fee Total:$4.31Y.00' =: :5❑ Cap-off,quan ity wer System Development Fee Total:$ <br /> Reconne n to stub ter Service Line(behind meter),Size <br /> Back ter Vave ckflow Prevention(Outside Building):❑RPBA ❑DCVA <br /> ® N REQUIRED T REQUIRED <br /> 'planation/Utility Permit#MUKILTEO SEWER planation/Utility Permit#� "'2-^�v <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 ❑ %"Detect Meter Only,Service Size <br /> ❑ Water System Development Fee Total:$ ❑ Backflow ention(Outside Building):❑DCDA <br /> ❑ Backflo revention(Outside Building):❑DCVA ® NO QUIRED <br /> ® NOT QUIRED xplanation/Utility Permit# <br /> Explanation/Utility Permit# <br /> WATER DEPAR ENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Qu ity-See attached for reference. <br /> ® NOT QUIRED <br /> 4.1 <br /> Plumbing Permi (Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Back-flow Prev tion(Inside Building): ❑DCVA(for Domestic service) ❑RPBA(for Domestic service) ❑DCDA(for Fire service) <br /> ® NOT RED <br /> Building Permits(Note:Permit Technicians to add all items selected below to associated Building P rmit) <br /> STORMWATER SYSTEM DEVELOPMENT EES: TRAFFIC MITIGATION FEES: <br /> ❑ YES,❑See Attached for cns/credit ® YES,Traffic Mitigation Total: 93.00 <br /> El <br /> To be added on PW To be added See Attached for calculations/credit <br /> Quantity charged SFalc io Quantity rged SF ❑ NOT REQUIRED <br /> QTY is❑Grou only❑all surfaces QTY is Roof only❑all surfaces <br /> $ $23og-bc•� <br /> ® NOT R IRED <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#B2308-067 <br /> ®Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ® YES—Type NFPA 131) <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: &d Date:09101/2023 'LU 24 reW'5 <br /> Worksheet Reviewed By:,&� Date:09-01-2023 <br />