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• • <br /> E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 7826 RAINIER DR Permit#:63221-1=1-2f) Pk)2-2-1 1, ''010 <br /> TENANT: <br /> DESCRIPTION OF WORK: CONVERT EXITSING DETACHED GARAGE TO 884 SF DADU <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 /> ❑ New Connection to main plus connections to building 0 New Connection, Size -0 Per Cost Estimate <br /> X Alteration 0 Meter Only, Size -0 Per Cost Estimate <br /> ❑ Repair 0 Water System Development Fee Total:$ <br /> ❑ Cap-off,quantity 0 Sewer System Development Fee Total: $ <br /> ❑ Reconnection to stub X Water Service Line (behind meter), Size <br /> ❑ Backwater Valve 0 Backflow Prevention (Outside Building): ❑ RPBA or 0 DCVA <br /> ❑ NOT REQUIRED 0 NOT 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 ❑ New Connection, Size -0 Per Cost Estimate <br /> ❑Meter Only, Size ❑%" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total:$ ❑ Backflow Prevention (Outside Building): ❑ DCDA <br /> ❑ Backflow Prevention(Outside Building): 0 DCVA X NOT REQUIRED <br /> X NOT REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PWReviewerto send cost estimate request to Water Department) <br /> ❑Yes, Quantity , See attached for reference. <br /> X NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ❑ Backflow Prevention (Inside Building): ❑ DCVA(for Domestic service) ❑ RPBA(for Domestic service) ❑ DCDA(for Fire service) <br /> X NOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> X YES,X See Attached for calculations/credit 0 YES,Traffic Mitigation Total: $ <br /> To be added on PW2212-010 To be added on ❑ See Attached for calculations/credit <br /> Quantity charged 270 SF Quantity charged SF X NOT REQUIRED <br /> QTY is X Ground only 0 all hard surfaces QTY is 0 Roof only 0 all hard surfaces <br /> $72.31 $ <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 /> X YES-TYPE: 0 SFR ❑ DUPLEX X DADU ❑ INFILL DWELLING ❑ MULTI-FAMILY 0 COMMERCIAL <br /> X See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> X Digital copy attached to permit record, Permit# <br /> X Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type <br /> X NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> X YES, Permit#PW2210-010 <br /> X Stormwater NPDES Tab Completed in TRAKiT X ADA Tab Completed in TRAKiT N/A Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: 7erni Pa yeva¢o#t Date: 12/14/2022 <br /> Worksheet Checked B. Date: 1 Z it S 124.122 <br />