8102 EVERGREEN WAY MALL KIOSK EVERETT 4 CORNERS - MAIL KIOSK 2025-08-06

EVERETT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 8102 EVERGREEN WAY MAIL KIOSK Permit #: B2101-015 TENANT: MAIL KIOSK -FOUR CORNERS APTS DESCRIPTION OF WORK: MAIL KIOSK- FOUR CORNERS APARTMENTS Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) SANITARY SEWER: ❑ New Connection to main plus connections to building ❑ Alteration ❑ Repair ❑ Cap -off, quantity ❑ Reconnection to stub ❑ Backwater Valve )(NOT REQUIRED Explanation/ Utility Permit #: IRRIGATION SERVICE: (Not Including Cost Estimates) ❑ New Connection, Size ❑ Meter Only, Size ❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCVA O(NOT REQUIRED Explanation/ Utility Permit #: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Meter Only, Size - ❑ Per Cost Estimate ❑ Water System Development Fee Total: $ ❑ Sewer System Development Fee Total: $ ❑ Water Service Line (behind meter), Size ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA b(NOT REQUIRED Explanation/ Utility Permit M FIRE SERVICE: (Attach Cost Estimate / Request for Reference) ❑ New Connection, Size ❑ Per Cost Estimate ❑ 3/" Detect Meter Only, Service Size ❑ Backflow Prevention (Outside Building): ❑ DCDA XNOT REQUIRED Explanation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Quantity See attached for reference. SNOT REQUIRED Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit -for items inside building only) ❑ Backflow Prevention (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA (for Fire service) (NOT REQUIRED Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: j(YES, XSee Attached for calculations / credit ❑ YES, Traffic Mitigation Total: $ To be added on PW To be added on B2102-015 ❑ See Attached for calculations / credit Quantity charged SF Quantity charged 688 SF KNOT REQUIRED QTY is ❑ Ground only ❑ all hard surfaces QTY is P(Roof only ❑ all hard surfaces $ $ 181.15 ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and 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 Marks) ❑ Digital copy attached to permit record, Permit # ❑ Saved to Address Folder in Development Tech File XNOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type XNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? YES, Permit # PW PW2011-044 XStormwater NPDES Tab Completed in TRAKiT RADA Tab Completed in TRAKiT Inspections Added in TRAKiT ❑ NOT REQUIRED / Worksheet Completed ByDate: 0 -7 (7-S[ Z Worksheet Checked By: REVISED 11/27/2019 Date: