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EVE R E T T PUBLIC WORKS REVIEW WRKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 3620 W MUKILTEO BLVD,UNIT C Permit#: B2304-040 <br /> DESCRIPTION OF WORK: NEW"HARBOR'S EDGE"TOWNHOMES,UNIT C <br /> PW Reviewer to select all that apply below: - <br /> tility Permits (Note:Permit Technicians to Create Utilit rmit for Sewer, Wa r,Fire,and Irrigation,as selected below) <br /> r® <br /> SANITARY SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) <br /> New Connection to main plus 1 connections to building ❑ New Connection,Size - El Per Cost Estimate <br /> ElAlteration ® 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:$5,580.00 <br /> ❑ Reconnection to stub ❑ Water Service Line(behind meter),Size <br /> ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):❑RPBA ❑DCVA <br /> ❑ NOT REQUIRED p� /� / ❑ NOT REQUIRED G <br /> Explanation/Utility Permit#u ZW% ..-CC \ Explanation/Utility Permit# ua.�jOg ~o� 1 <br /> I RIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection,Size ❑ New Connection,Size -❑ Per Cost Estimate <br /> El Meter Only,Size El %"Detect Meter Only,Service Size <br /> El Water System Development Fee Total:$ El Backflow Prevention(Outside Building):❑DCDA <br /> ❑ Backfl Prevention(Outside Building):❑DCVA ® IyREQUIRED <br /> El NO EQUIRED /Explanation/Utility Permit# <br /> Explanation/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 REQ�HttED <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) El DCDA(for Fire service) <br /> ® NOT REQUXED <br /> Building Permits(Note:Permit Technicians to add all items selected below to associated Building Pe it) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> ❑ YES,El 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 ElGround only❑all surfaces QTY is ElRoof only❑all surfaces Z��Ot G OL.)? D r <br /> $ $ \ //' <br /> "� <br /> ® 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 /> ® YES-TYPE:®SFR El 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#B2304-040 <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:Saiidaa 900d Date:05/11/2023 <br /> Worksheet Reviewed By: 7kid V./401e Date:05/11/2023 <br />