5719 EAST DR 2025-06-30 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 5719 EAST DR Permit #: B2409-067 DESCRIPTION OF WORK: repair of fire damage garage and replace woodshed PW Reviewer to select all that apply below: Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) ❑ New Connection to main plus connections to building ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Alteration ❑ Meter Only, Size ❑ Per Cost Estimate ❑ Repair ❑ Water System Development Fee Total: $ ❑ Cap -off, quantity ❑ Sewer System Development Fee Total: $ ❑ Reconnection to stub ❑ Water Service Line (behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA ❑ DCVA ® NOT REQUIRED ® NOT REQUIRED Explanation/Utility Permit # Explanation/Utility Permit # IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate / Request for Reference) ❑ New Connection, Size ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Meter Only, Size ❑ %" Detect Meter Only, Service Size ❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCDA ❑ Backflow Prevention (Outside Building): ❑ DCVA ® NOT REQUIRED ® NOT REQUIRED Explanation/Utility Permit # Explanation/Utility Permit # WATER DEPARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Quantity , See attached for reference. ® NOT REQUIRED Plumbing Permits (Note: Plumbing Contractor to apply for all items inside building selected below) 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: ® YES, ® See Attached for calculations / credit ❑ YES, Traffic Mitigation Total: $ To be added on PW To be added on B2409-067 ❑ See Attached for calculations/credit Quantity charged SF Quantity charged 198SF ® NOT REQUIRED QTY is ❑ Ground only ❑ all surfaces QTY is ® Roof only ❑ all surfaces $ $59.16 ❑ 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 PWClerical@everettwo.gov) ❑ Digital copy attached to permit record, Permit # ❑ Saved to Address Folder in Development Tech File ® NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type ® NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑ YES, Permit # PW ❑ Stormwater NPDES Tab Completed in TRAKiT ❑ ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ® NOT REQUIRED Worksheet Completed By:,Z Date: 0112412024 Worksheet Reviewed By: 7&d Date: