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E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 9918 18TH AVE W UNIT C Permit#: B2308-076 <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE COMMUNITY-BENTON SQUARE BUILDING C,UNIT C <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:$_4,311.00-• <br /> ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ <br /> ❑ Reconnection to stub ❑ Water Service Line(behind meter),Size <br /> ❑ Backw,4ter Valve ❑ Backflow Prevention(Outside Building):❑ RPBA ❑DCVA <br /> ® NOT--REQUIRED ❑ NOT REQUIRED <br /> E planation/Utility Permit#MUKILTEO SEWER Explanation/Utility Permit# Z�O?j — 02J <br /> IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/RequestforReference) <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:$ ❑ Backflo revention(Outside Building):❑DCDA <br /> ❑ Backflo Prevention(Outside Building):❑DCVA ® NO QUIRED <br /> ® NOT EQUIRED planation/Utility Permit# <br /> Explanation/Utility Permit# <br /> WATER DEPARYM ENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Qqafitity .See attached for reference. <br /> ® NOT EQUIRED <br /> Plumbing Permits(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Backflow Prev tion(Inside Building): ❑DCVA(for Domestic service) ❑RPBA(for Domestic service) ❑DCDA(for Fire service) <br /> ® NOT RE AIRED <br /> Building Permits(Note:Permit Technicians to add all items selected below to associated 8uildin 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 add on ❑See Attached for calculations/credit <br /> Quantity charged SF Quanti charged SF ❑ NOT REQUIRED <br /> $TY is round only El all surfaces QTY' Roof only❑all surfaces <br /> ® N REQUIRED J l0 <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address),print out Address Letter from TRAKU 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#B2308-076 <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: /at/ad Date:0910119023 20 Z¢ Fce. <br /> WorksheetReviewedBy:,,19 Date:09-01-2023 <br />