9502 18TH AVE W H 2025-01-30 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 9502 18TH AVE W UNIT H Permit#:B2310-047 DESCRIPTION OF WORK: NEW SFR-REF RB2306-001 UNIT H PW Reviewer to select all that apply below: i ity Permits (Note:Permit Technicians to Create Utility Permit or Sewer, ater,Fire,and Irrigation,as selected below) SANITARY SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) ® New Connection to main plus 1 connections to building ❑ New Connection,Size - ❑Per Cost Estimate ❑ Alteration ® Meter Only,Size 3/4-inch-❑Per Cost Estima ❑ Repair ® Water System Development Fee Total:$ ❑ Cap-off,quantity ® Sewer System Development Fee Total:$5 .00 C{O'L%•OIJ ❑ Reconnection to stub ❑ Water Service Line(behind meter),Size ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):❑RPBA ❑DCVA ❑ NOT REQUIRED ❑ NOT REQUIRED Explanation/Utility Permit#UZL{0Z ()0`2- Explanation/Utility Permit# U2'�02 ^�?� IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) ❑ New Connection,Size ❑ New Connection,Size -❑Per Cost Estimate ❑ Meter Only,Size ❑ 3/<"Dete eter Only,Service Size ❑ Water Sy em Development Fee Total:$ El Back w Prevention(Outside Building):❑DCDA ❑ Bac w Prevention(Outside Building):❑DCVA ® T REQUIRED ® T REQUIRED Explanation/Utility Permit# Explanation/Utility Permit# WATER DEP TMENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) ❑ Yes, uantity ,See attached for reference. ® N REQUIRED Plumbing Perm' Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) Backflow P ention(Inside Building): ❑DCVA(for Domestic service) ❑RP BA(for Domestic service) ❑DCDA(for Fire service) ® NOT--REQUIRED Building Permits(Note:Permit Technicians to add all items selected below to associated Buildin Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ❑ YES,❑See Attached for calculations/credit ®YES,Traffic Mitigation Total:$4 3.00 To be added on PW To be added on ❑See Attached for calc tions/credit Quantity ch ed SF Quantity charged SF ❑ NOT REQUIRED O CITY is round only❑all surfaces QTY is❑Roof only❑all surfaces S C'Sq-' -d IK REQUIRED Reviewed under PW2211-021$ Z 3�0 -Pq Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address),print out Address Letter from TRAKiT Print Menu a include) ® YES—TYPE:®SFR ❑DUPLEX ❑ADU ❑INFILL DWELLING ❑MULTI-FAMILY ❑COMMERCIAL ®See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits,scan one copy to Jeffrey Mar ) ®Digital copy attached to permit record,Permit#B2310-047 ®Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FRZ SPRINKLERS REQUIRED? ❑ YES Type ® NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑ YES,Permit#PW ❑Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑Inspections Added in TRAKiT ® NOT REQUIRED Worksheet Completed By: /e1tJIG Date:1011319093 Worksheet Reviewed By: /1r4d �L� Date:1011319093