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E E R E T T <br />PUBLIC WORKS REVIEW WORKSHEET <br />WASHINGTON <br />S <br />PROJECT ADDRESS: 991618TH AVE W UNIT E Permit #: B2308-071 <br />DESCRIPTION OF WORK: NEW TOWNHOUSE COMMUNITY- BENTON SQUARE BUILDING B, UNIT E <br />PIN Reviewer to select all that apply below. - <br />Utility Permits (Note: Permit Technicians to Create Utility Permitfor SF <br />,and Irrigation, as selected below) <br />SANITARY SEWER: IC WATER SERVICE: (Attach Calculation&Cost EstJ <br />❑NewConnection to main <br />plusconnections to building Connection, Size- ❑Per Cost Estimate <br />Alteration <br />er Only, Size 1-INCH DOM/FIRE -❑ Per Cost Estimate <br />Repair <br />er System Development Fee Total:$4:STVW 4,,5`I-7 <br />ap-off,uantityReconnection <br />er System Development Fee Total: $er <br />to ub <br />Service Line (behind meter), Size❑ <br />BackwaterVa flow Prevention (Outside Building): ❑ RPBA ❑ DCVA <br />T REQUD <br />REQUIRED,� 1fL�ji.�Explan on/Utility Permit#MUKILTEO SEWER anation/Utility Permit #"l02-0"'1� <br />IRRIGAT ON SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate / Request for Reference) <br />❑ New connection, Size <br />❑ New Connection, Size _- ❑ Per Cost Estimate <br />❑ Meter only, Si ❑ Y." Detect <br />Meter Only, Service Size_ <br />❑ Water Syst Development Fee Total: $— ❑ Backflo revention (Outside Building): ❑ DCDA <br />❑ Backflo revention (Outside Building): ❑ DCVA <br />® NOT QUIRED <br />® NOT QUIRED Explanation/Utility Permit# <br />Ex anation/Utility Permit#_ <br />WATER DEPARTMENT COST ESTIMATE NEEDED -(If yes, PW Reviewer to send cost estimate request to Water Department) <br />❑ Yes, Qua ' . See attached for reference. <br />NOTR IRED <br />Plumbing Permits (Note: Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br />Backflow Prev ion (Inside Building): ❑ DCVA (for Domestic service) ❑ RPBA(for Domestic service) ❑ DCDA(for Fire service) <br />® NOT RE IRED - <br />Building Permits (Note: Permit Technicians to add all items selected below to associated Buildin Permit) <br />STORM WATER SYSTEM DEVELOPMENT FEES: <br />❑ YES, ❑ See Attached for calculations/ credit <br />FFIC MITIGATION FEES: 5_ $42 <br />® YES, Traffic Mitigation Total✓$4-993A0 <br />To be added on To be added on <br />❑ See Attached for calculations/credit <br />Quantity char d—SF Quantity charged_ SF <br />❑ NOT REQUIRED <br />CITY is ❑ ound only ❑ all surfaces CITY is ❑ Roof only El all surfaces <br />® NOT QUIRED <br />Additional Checklists: <br />ADDRESS LETTER REQUIRED (If yes (newassigned address), print out Address Letterfrom TRAKi r Print Menu and include) <br />® YES —TYPE: ®SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI -FAMILY ❑ COMMERCIAL <br />® See Attached Letter, 2 copies (PermitTechs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br />® Digital copy attached to permit record, Permit #B2308-071 <br />® Saved to Address Folder in Development Tech File <br />❑ NOT REQUIRED <br />FIRE SPRINKLERS REQUIRED? <br />® YES Type NFPA 13D <br />❑ NOT REQUIRED <br />Reason: TOWNHOUSE FLOW THROUGH <br />PUBLIC WORKS PERMIT REQUIRED? <br />❑ YES, Permit# PW— <br />❑ Stormwater NPDES Tab Completed in TRAK7 ❑ ADA Tab Completed in TRAKiT []Inspections Added in TRAKiT <br />® NOT REQUIRED <br />e / _ ' <br />Worksheet Completed By: Date: 0910119023 �, Z4r F( �5 <br />*//�/[t,�.�r��[� <br />WorksheetReviewed By:�4 /dQ,CyQ(y2 Date:09-01-2023 <br />