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E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 7400 HARDESON RD Permit#: B2107-004 <br /> TENANT: SUNBELT RENTALS <br /> DESCRIPTION OF WORK: ADDITION OF A METAL UTILITY SHED TO EXTG COMMERCIAL PROPERTY <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) <br /> SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) <br /> ,O ew Connection to main plus connections to building 0 New Connection, Size - 0 Per Cost Estimate <br /> lad Alteration 0 Meter Only, Size - 0 Per Cost Estimate <br /> ❑ Repair 0 Water System Development Fee Total: $ <br /> ❑ Cap-off,quantity ❑ Sewer System Development Fee Total: $ <br /> ❑ Reconnection to stub ❑ Water Service Line (behind meter), Size <br /> ❑ p •kwater Valve 0 ckflow Prevention (Outside Building): 0 RPBA or 0 DCVA <br /> REQUIRED IVOT REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, Size 0 New Connection, Size - 0 Per Cost Estimate <br /> ❑ Meter Only, Size ❑3/4" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total: $ 0 ackflow Prevention (Outside Building): 0 DCDA <br /> ❑ ackflow Prevention (Outside Building): 0 DCVA OT REQUIRED <br /> niNOT REQUIRED xplanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(lf yes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑ es, Quantity , See attached for reference. <br /> I NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ❑ ackflow Prevention (Inside Building): 0 DCVA(for Domestic service) 0 RPBA (for Domestic service) 0 DCDA (for Fire service) <br /> OT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> DRMWAVrER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> YES, See Attached fo a ulations/credit ❑Y S,Traffic Mitigation Total: $ <br /> To be added on PW I , To be added on See Attached for calculations/credit <br /> Quantity charged UM! SF Quantity charged SF OT REQUIRED <br /> QTY is Q/Ground on y ■I/alll and surfaces QTY is /Roof.my I and surfaces <br /> ❑ NOT REQUIRED <br /> ),)tf <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# <br /> ❑ Saved to Address Folder in Development Tech File <br /> RIOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑ ES—Type <br /> OT REQUIRED <br /> eason: <br /> PUPLIC WORKS PERMIT REQUIRED? <br /> n�.ES, Permit#PW <br /> q,Stormwater NP S Ta ompleted in TRAKiT "ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED Worksheet Completed By: ^�1E Date: 9( /-ztzl <br /> t <br /> Worksheet Checked By: Date: b'j', 15- 20 Zf <br /> REVISED 11/27/2019 <br />