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EVE R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 9918 18TH AVE W UNIT A Permit#: B2308-074 <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE COMMUNITY-BENTON SQUARE BUILDING C,UNIT A <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:$4,341= <br /> ❑ Cap-o ,quantity ❑ Sewer System Development Fee Total:$ <br /> ❑ Rec nection to stub ❑ Water Service Line(behind meter),Size <br /> ❑ B water Valve ❑ Backflow Prevention(Outside Building):❑RPBA ❑DCVA <br /> ® OT REQUIRED ❑ NOT REQUIRED • „�O�� <br /> 'Explanation/Utility Permit#MUKILTEO SEWER Explanation/Utility Permit# O—IbP4`/ <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 ❑ %"Det ct Meter Only,Service Size <br /> ❑ Wat r System Development Fee Total:$ ❑ Bac ow Prevention(Outside Building):❑DCDA <br /> ❑ Ba low Prevention(Outside Building):❑DCVA ® REQUIRED <br /> ® OT REQUIRED Explanation/Utility Permit# <br /> Explanation/Utility Permit# <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,94antity_See attached for reference. <br /> ® NOYREQUIRED <br /> Plumbing Permits(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Backflow evention(Inside Building): ❑DCVA(for Domestic service) ❑ RPBA(for Domestic service) ❑DCDA(for Fire serv' ) <br /> ® NOYREQUIRED <br /> Building Permits(Note:Permit Technicians to add all items selected below to associated Bull di g 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 /> ® VCITY is Ground only❑all surfaces CITY is❑Roof only El all surfaces <br /> NO EQUIRED <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#B2308-074 <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 TRAKiT ❑Inspections Added in TRAKiT <br /> ® NOT REQUIRED <br /> Worksheet Completed By: /K/4d Vi? g. Date:09101I2O23 Zp ZA i-44r. <br /> Worksheet Reviewed By:,�� Date:09-01-2023 <br />