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EVERETT PUBLIC WORKS REVIEW WORKSHEET <br /> mom WASHINGTON <br /> PROJECT ADDRESS: 3700 FEDERAL AVE PORTABLE 7 Permit#: B2402-047 <br /> DESCRIPTION OF WORK: NEW PORTABLE#7,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 /> ❑ New Connection to main plus connections to building ❑ New Connection,Size - ❑Per Cost Estimate <br /> ❑ Alteration ❑ Meter Only,Size -❑Per Cost Estimate <br /> ❑ Repair 0 Water System Development Fee Total:$ <br /> ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ <br /> ❑ Reconnectio to stub ❑ Water Service Line(behind meter),Size <br /> ❑ Backwat alve ❑ Backf Prevention(Outside Building):❑RPBA ❑DCVA <br /> ® NOT QUIRED ® REQUIRED <br /> Ex nation/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 -❑Per Cost Estimate <br /> ❑ Meter Only,Size ❑ %"Detect Meter Only,Service Size <br /> ❑ Water System Development Fee Total:$ ❑ Bac ow Prevention(Outside Building):0 DCDA <br /> ❑ Backfl revention(Outside Building):❑DCVA ® T REQUIRED <br /> ® N EQUIRED xplanation/Utility Permit# <br /> xplanation/Utility Permit# <br /> WATER DEPART ENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Qu ity .See attached for reference. <br /> El NOT QUIRED <br /> Plumbing Permits(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Backflow Preven ' n(Inside Building): ❑DCVA(for Domestic service) ❑ RPBA(for Domestic service) ❑DCDA(for Fire service) <br /> ® NOT REQ ED <br /> Building Permits(Note:Permit Technicians to d all items selected below to associa d Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES TRAFFIC MITIGAT FEES: <br /> ® YES,®See Attached for calculations/c edit ❑ YES,Traff' itigation Total:$ <br /> To be added on PW To be added on B2402-047 ❑ e Attached for calculations/credit <br /> Quantity charged OSF Quantity charged 1187SF ® N REQUIRED <br /> QTY is❑Ground only❑all surfaces QTY is❑Roof only®all surfaces <br /> $0.00 $354.68 <br /> ❑ NOT REQUIRED <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes ew assigned address),print out Add ess Letter from TRAKiT Print Menu and include) <br /> ❑ YES—TYPE:❑SFR ❑DUPLEX ❑AD ❑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 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 /> ❑Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑Inspections Added in TRAKiT <br /> ® NOT REQUIRED <br /> Worksheet Completed By: 7eirce pyvk'otdopt Date:0212612024 <br /> Worksheet Reviewed By:,4& 74,4eyeArDate:0212612024 <br />