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EVE R E T T 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:$4,311.00 s 7 <br /> ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ + <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 SEWER Explanation/Utility Permit#mil A02- <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 ❑�a� <br /> Dete eter Only,Service Size <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: TRAFFIC MITIGATION FEES: S S? <br /> ❑ YES,❑See Attached for calculations/credit ® YES,Traffic Mitigation Total:$ —3.00 <br /> To be added on PW To be added on ❑See Attached for calculations/c dit <br /> Quantity charged SF Quantity charged SF ❑ 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 />