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EVE R E T T PUBLIC WORKS REVIEW WRKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 3620 W MUKILTEO BLVD, UNIT D Permit#: B2304-041 <br /> DESCRIPTION OF WORK: NEW"HARBOR'S EDGE"TOWNHOMES,UNIT D <br /> PW Reviewer to select all that apply below: <br /> /,�_/tility Permits (Note:Permit Technicians to Create Utility rmit for Sewer, W er,Fire,and Irrigation,as selected below) • <br /> /SANITARY SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) <br /> E New Connection to main plus 1 connections to building ❑ New Connection,Size - ❑Per Cost Estimate <br /> ❑ Alteration E Meter Only,Size 1"DOM/FIRE COMBO-El Per Cost Estimate <br /> ❑ Repair E Water System Development Fee Total:$4,311.00 <br /> ❑ Cap-off,quantity E Sewer System Development Fee Total:$5,580.00 <br /> ❑ Reconnection to stub / El Water Service Line(behind meter),Size <br /> ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):❑RPBA ❑DCVA <br /> NOT REQUIRED �/� ❑ NOT REQUIRED <br /> Explanation/Utility Permit#US�`o' ,v Explanation/Utility Permit# 42.�$s0�0 <br /> IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection,Size ❑ New Connection,Size -❑Per Cost Estimate <br /> ❑ Meter Only,Size ❑ %"Detect Meter Only,Service Size <br /> ❑ Water System Development Fee Total:$ El Backflow Prevention(Outside Building):❑DCDA <br /> ❑ Backflow Prevention(Outside Building):❑DCVA E NOT REQUIRED <br /> E NOT REQUIRED Explanation/Utility Permit# <br /> Explanation/Utility Permit# <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(lf yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Quantity ,See attached for reference. <br /> E 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 /> E NOT REQUIRED <br /> Building Permits(Note:Permit Technicians to add all items selected below to associated Building rmit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> O YES,❑See Attached for calculations/credit E YES,Traffic Mitigation Total:$4,993.00 <br /> To be added on PW To be added on ❑See Attached for calculations/credit <br /> Quantity charged SF Quantity charged SF ❑ NOT REQUIRED <br /> $QTY is❑Ground only❑all surfaces $TY is❑ Roof only❑all surfaces fb2,„3O1`c, - k <br /> E 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 /> E YES—TYPE:E SFR ❑DUPLEX ❑ADU ❑INFILL DWELLING ❑MULTI-FAMILY ❑COMMERCIAL <br /> E See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits,scan one copy to Jeffrey Marks) <br /> E Digital copy attached to permit record,Permit#B2304-041 <br /> E Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> E YES Type NFPA 13D <br /> ❑ NOT REQUIRED <br /> Reason:CODE REQUIRED <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> E YES,Permit#PW2205-022 <br /> E Stormwater NPDES Tab Completed in TRAKiT E ADA Tab Completed in TRAKiT E Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By:Satr�ttuaa 9,44d Date:05/1112023 <br /> Worksheet Reviewed By: tWad!1.-ealiene Date:05/11/2025 <br />