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EVE R E T T PUBLIC WORKS REVIEWWORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 3702 W MUKILTEO BLVD, UNIT A Permit#: B2304-046 <br /> • DESCRIPTION OF WORK: NEW"HARBOR'S EDGE"TOWNHOMES,UNIT A <br /> PW Reviewer to select all that apply below: <br /> ility Permits (Note:Permit Technicians to Create Utility Permit for Sewer,Water,Fire,and Irrigation,as selected below) <br /> SANITARY SEWER:SANITARY WATER SERVICE:(Attach Calculation&Cost Est.) <br /> ® New Connection to main plus 1 connections to building ❑ New Connection,Size - ❑Per Cost Estimate <br /> ❑ Alteration ® Meter Only,Size 1"DOM/FIRE COMBO-❑ Per Cost Estimate <br /> El Repair Water System Development Fee Total:$4,311.00 <br /> ❑ Cap-off,quantity ® Sewer System Development Fee Total:$5,580.00 <br /> ❑ Reconnection to stub ❑ Water Service Line(behind meter),Size <br /> Backwater Valve ❑ Backflow Prevention(Outside Building):❑RPBA El DCVA <br /> NOT REQUIRED /� ❑ NOT REQUIRED <br /> Jl7.3c��Explanation/Utility Permit# t + Ok Explanation/Utility Permit# Lk Z,3o' --oLS <br /> IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection,Size El New Connection,Size -❑Per Cost Estimate <br /> ❑ Meter Only,Size ❑ %"Detect Me nly,Service Size <br /> ❑ Water System Development Fee Total:$ ❑ Backflo evention(Outside Building):❑DCDA <br /> ❑ Backflow Pr ention(Outside Building):❑DCVA ® NO EQUIRED <br /> ® NOT RE RED planation/Utility Permit# <br /> Expla tion/Utility Permit# <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Quantity ,See attached for reference. <br /> ® 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): El DCVA(for Domestic service) El RPBA(for Domestic service) ❑DCDA(for Fire service) <br /> ® NOT REQUIRED <br /> Building Permits(Note:Permit Technicians to add all items selected below to associated Building rmit) <br /> ORMWATER SYSTEM DEVELOPMENT FEES:in <br /> YES, C� TRAFFIC MITIGATION FEES: <br /> ElSee Attached for calculations/credit ®YES,Traffic Mitigation Total:$4,993.00 <br /> To be added on PW To be addedtV o ❑See Attached for calculations/credit <br /> Quantity charged SF Quantity charged SF ❑ NOT REQUIRED <br /> QTY is❑Ground only El all surfaces QTY is❑Roof only El all surfaces ' r <br /> ® NOT REQUIRED $ ��—O <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address),print out Addr ss Letter from TRAKiT Print 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#B2304-046 <br /> ®Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ® YES Type NFPA 13D <br /> El 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:S'atnCora 94od Date:05/11/2023 <br /> Worksheet Reviewed By: ! Date:05/11/2023 <br />