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EV E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 3620 W MUKILTEO BLVD, UNIT A Permit#: B2304-038 <br /> DESCRIPTION OF WORK: NEW"HARBOR'S EDGE"TOWNHOMES,UNIT A <br /> PW Reviewer to select all that apply below: <br /> (SANITARY <br /> Permits (Note:Permit Technicians to Create Util' Permit for Sewer, Water,Fire,and Irrigation,as selected below) <br /> SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) <br /> ® New Connection to main plus 1 connections to building L ❑ New Connection,Size ❑Per Cost Estimate <br /> ❑ Alteration LE] Meter Only,Size 1"DOM/FIRE COMBO-❑ Per Cost Estimate <br /> ❑ Repair ® Water System Development Fee Total:$4,311.00 <br /> ❑ Cap off,quantity ® Sewer System Development Fee Total:$5,580.00 <br /> Reconnection to stub ❑ Water Service Line(behind meter),Size <br /> El Backwater Valve El Backflow Prevention(Outside Building):❑RPBA ❑ DCVA <br /> ❑ NOT REQUIRED , C El NOT REQUIRED "Vz ' O(Q <br /> Explanation/Utility Permit#V�������� Explanation/Utility Permit# <br /> IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection,Size ❑ New Connection,Size -El Per Cost Estimate <br /> ❑ Meter Only,Size ❑ %"Detect Meter Only,Service Size <br /> ❑ Water System Development Fee Total:$ ❑ Backflow evention(Outside Building):El DCDA <br /> ❑ Bac ow Prevention(Outside Building):❑DCVA ® NOT QUIRED <br /> ® If REQUIRED Exp anation/Utility Permit# <br /> Explanation/Utility Permit# <br /> WATER DEPAR MENT COST ESTIMATE NEEDED-Of yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Qua ity ,See attached for reference. <br /> ® NOT UIRED <br /> Plumbing Permits(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Backflow Pr ention(Inside Building): ❑DCVA(for Domestic service) ❑RPBA(for Domestic service) ❑DCDA(for Fire service) <br /> LEI NOT QUIRED <br /> Building Permits(Note:Permit Technicians to add all items selecte. =ow to associated Building P mit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> ❑ YES,❑See Attached for calculations/credit ® YES,Traffic Mitigation Total:$4,993.00 <br /> To be added on PW To be added on El See Attached for calculations/credit <br /> Quantity charged SF Quantity charged SF ❑ NOT REQUIRED <br /> QTY is❑Ground o d all surfaces QTY is❑Roof only❑all surfaces <br /> $ $ Cat Z304—03 <br /> ® NOT REI. •ED <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address),print out Address Letter from TRAKiT t 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#B2304-038 <br /> ®Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ® YES—Type NFPA 13D <br /> ® NOT REQUIRED <br /> Reason:CODE REQUIRED <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ® YES,Permit#PW2205-022 <br /> ®Stormwater NPDES Tab Completed in TRAKiT ®ADA Tab Completed in TRAKiT ®Inspections Added in TRAKiT <br /> El NOT REQUIRED <br /> Worksheet Completed By:Saba Date:05/11/2023 <br /> Worksheet Reviewed By: W44 TleC!izOU Date:05/11/2023 <br />