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EVERETT PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 3700 FEDERAL AVE PORTABLE 6 Permit#: B2402-046 <br /> DESCRIPTION OF WORK: NEW PORTABLE#6,FOUNDATION PAD,WELCOME RAMP AND LANDING <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 /> El New Connection to main plus connections to building El New Connection,Size - ❑Per Cost Estimate <br /> ❑ Alteration ❑ Meter Only,Size -❑ Per Cost Estimate <br /> ❑ Repair ❑ Water System Development Fee Total:$ <br /> ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ <br /> ❑ Reconnec 'on to stub 0 Water Service Line(behind meter),Size <br /> ❑ Backw er Valve ❑ Backf Prevention(Outside Building):❑ RPBA ❑DCVA <br /> ® NO EQUIRED ® REQUIRED <br /> E planation/Utility Permit# Explanation/Utility Permit# <br /> IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) <br /> 0 New Connection,Size ❑ New Connection,Size -El Per Cost Estimate <br /> ❑ Meter Only,Size El %"Detect Meter Only,Service Size <br /> El Water Sy m Development Fee Total:$ ❑ Backf w Prevention(Outside Building):❑DCDA <br /> ❑ Backfl Prevention(Outside Building):❑DCVA ® N REQUIRED <br /> ® NO REQUIRED xplanation/Utility Permit# <br /> Exp anation/Utility Permit# <br /> WATER DEP RTMENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes, antity ,See attached for reference. <br /> ® NO REQUIRED <br /> Plumbing Perm's(Note:Permit Technicians to add all items selected below to Plumbing ermit for items inside building only) <br /> Backflow Pr ention(Inside Building): ❑DCVA(for Domestic service) ❑ BA(for Domestic service) ❑DCDA(for Fire service) <br /> • NOT QUIRED <br /> Building Permits(Note:Permit Technicians to add all items selected below to asso sated Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES:r TRAFFIC MITIGATION FEES: <br /> ® YES,®See Attached for calculations/creidit ❑YES,Traffic Mitigation Total:$0.00 <br /> To be added on P To be added on B2402-046 ❑See Attached for calculations/credit <br /> Quantity char:, : SF Quantity charged 1187SF ® NOT REQUIRED <br /> QTY is El Gr.. nd only❑all surfaces QTY is❑Roof only®all surfaces <br /> $0.00 , $354.68 <br /> ❑ NOT RE,UIRED <br /> Additio •,Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address),print out Ad ress Letter from TRAKiT Print Menu and include) <br /> ❑ YES—TYPE:❑SFR ❑DUPLEX ❑ADU ❑INFILL DWELLING ❑ MULTI-FAMILY ❑COMMERCIAL <br /> El See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits,scan one copy to PWClerical@everettwa.gov) <br /> ❑Digital copy attached to permit record,Permit# <br /> ❑Saved to Address Folder in Development Tech File <br /> ® NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑ YES Type <br /> • NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ❑ YES,Permit#PW <br /> El Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑Inspections Added in TRAKiT <br /> ® NOT REQUIRED <br /> Worksheet Completed By: 7eltfre 9.049ea4O Date:0212612024 <br /> Worksheet Reviewed By: 464 74e9L Date:O212612024 <br /> r <br />