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EVE R E T T <br />PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />PROJECT ADDRESS: 9916 18TH AVE W UNIT D Permit #: B2308-070 <br />DESCRIPTION OF WORK: NEW TOWNHOUSE COMMUNITY- BENTON SQUARE BUILDING B, UNIT D <br />PW Reviewer to select all that apply below: <br />Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, ter, 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: $4,311.00 + <br />❑ Cap -off, quantity ❑ Sewer System Development Fee Total: $ <br />❑ Reconnectio o stub ❑ Water Service Line (behind meter), Size <br />❑ Backwat alve ❑ Backflow Prevention (Outside Building): ❑ RPBA ❑ DCVA <br />® NOT QUIRED ❑ NOT REQUIRED O� <br />E lanation/Utility Permit # MUKILTEO 02- <br />SEWER Explanation/Utility Permit #AL' <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 />Dete eter Only, Service Size <br />❑ Meter Only, Size ❑�a� <br />❑ Water System Development Fee Total: $ ❑w Prevention (Outside Building): ❑ DCDA <br />Backflo revention (Outside Building): ❑ DCVA QUIRED <br />® NO EQUIRED Explanation/Utility Permit# <br />planation/Utility Permit # <br />WATER DEPART 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 />® NOTAEQUIRED <br />Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br />Backflow Pr ntion (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA(for Domestic service) ❑ DCDA (for Fire service) <br />® NO EQUIRED <br />BuAding Permits (Note: Permit Technicians to add all items selected below to associated Building ermit) <br />STORMWATER SYSTEM DEVELOPMENT FEES: <br />TRAFFIC MITIGATION FEES: S S ? <br />❑ YES, ❑ See Attached for calculations / credit <br />® YES, Traffic Mitigation Total: $ —3.00 <br />To be added on PW To be added on <br />❑ See Attached for calculations/c dit <br />Quantity charged SF Quantity charged SF <br />❑ NOT REQUIRED <br />QTY is ❑ Ground only ❑ all surfaces CITY is ❑ Roof only ❑ all surfaces <br />® NOT REQUIRED <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 #B2308-70 <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 TRAK7 ❑ Inspections Added in TRAKiT <br />® NOT REQUIRED <br />Worksheet Completed By: '7&d Date: 091011202.3 <br />Worksheet Reviewed By:,�i Date:019-01-2023 <br />