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EV E R E TT PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 202 ALDER ST Permit#: B2307-058 <br /> DESCRIPTION OF WORK: (3)NEW PORTABLES W/FOUNDATION,RAMP,&LANDING <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water,Fire,and Irrigation,as selected below) <br /> SANITARY SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) <br /> ❑ New Connection to main plus connections to building 0 New Connection,Size - 0 Per Cost Estimate <br /> ❑ Alteration ❑ Meter Only,Size -❑Per Cost Estimate <br /> ❑ Repair ❑ Water System Development Fee Total:$ <br /> ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ <br /> ❑ Reconnection to stub 0 Water Service Line(behind meter),Size <br /> El Backwater Valve ❑` Backflow Prevention(Outside Building):❑RPBA ❑DCVA <br /> ® NOT REQUIRED ® NOT REQUIRED <br /> Explanation/Utility Permit# 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 -❑Per Cost Estimate <br /> ❑ Meter Only,Size 0 %"Detect Meter Only,Service Size <br /> ❑ Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building):El DCDA <br /> ❑ Backflow Prevention(Outside Building):❑DCVA ® NOT REQUIRED <br /> ® NOT REQUIRED 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 /> O 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 i ems inside building only) <br /> Backflow Prevention(Inside Building): ❑DCVA(for Domestic service) ❑RPBA(for D. estic service) ❑ DCDA(for Fire service) <br /> ® NOT REQUIRED <br /> Building Permits(Note:Permit Technicians t add all items selected below to associat'• Buil. ng Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FE'S: TRAFFIC MITIGATION FEES: <br /> • YES,®See Attached for calculations credit ❑YES,Traffic Mitigation Total:$ <br /> To be added on PW To be added on B2307-058 El See Attached for calculations/credit <br /> Quantity charged OSF Quantity charged 2660SF ® NOT REQUIRED <br /> QTY is❑Ground only❑all surface QTY is El Roof only®all surfaces <br /> $ $712.35 <br /> ❑ NOT REQUIRED <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(ne ':ned address),print out Address -tter from TRAKiT Print Menu and include) <br /> ❑ YES—TYPE:❑SFR El DUPLEX ❑ADU ❑INFILL DWELLING ❑ MULTI-F• ILY ❑COMMERCIAL <br /> El See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits,scan one copy to Jeffrey Marks) <br /> El Digital copy attached to permit record,Permit# <br /> ❑Saved to Address Folder in Development Tech File <br /> ® NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> El YES—Type <br /> ® NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ® YES,Permit#PW2308-015 <br /> ®Stormwater NPDES Tab Completed in TRAKiT ®ADA Tab Completed in TRAKiT ®Inspections Added in TRAKiT <br /> El NOT REQUIRED <br /> Worksheet Completed By: 74a%1,e0ftepte Date:0811012023 <br /> Worksheet Reviewed ByA iyV4 Date: ' 4 ZQ 2� <br /> T a� <br />