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EV E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 1013 RUCKER AVE Permit#: B2308-020 <br /> DESCRIPTION OF WORK: ENLARGE FOOTPRINT OF GARAGE PAD AND BUILD NEW GARAGE <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit forSewer, 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 ❑ New Connection,Size - ❑ Per Cost Estimate <br /> ❑ Alteration ❑ Meter Only,Size -❑ Per Cost Estimate <br /> ❑ Repair ❑ Water System Development Fee Total:$ <br /> ❑ Cap-off,qu tity <br /> ❑ Sewer System Development Fee Total:$ <br /> ❑ Reconn ion to stub ❑ Water Serv' a Line(behind meter),Size <br /> ❑ Back ter Valve ❑ Backflo revention(Outside Building):❑RPBA ❑DCVA <br /> ® NOT REQUIRED ® NO QUIRED <br /> Explanation/Utility Permit# planation/Utility Permit# <br /> IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE.(Attach ost Estimate/Request for Reference) <br /> ❑ New Connection,Size <br /> ❑ New Connecti ,Size -❑Per Cost Estimate <br /> ❑ Meter Only,Size ❑ W Detect ter Only,Service Size <br /> ❑ Water Syste Development Fee Total:$ ❑ Backflo revention(Outside Building):❑DCDA <br /> ❑ Backflow P evention(Outside Building):❑DCVA ® NOT QUIRED <br /> ® NOT RE IRED Ex anation/Utility Permit# <br /> Expl ation/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): ❑ DCVA(forDomestic service) ❑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 Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIG ION FEES: <br /> ® YES,®See Attached for calculations/credit YES,Tra i Mitigation Total:$ <br /> To be added on PW To be adde on B2308-020 e Attached for calculations/credit <br /> Quantity charged SF Quantity c rged 624SF ® N REQUIRED <br /> QTY is❑Ground only❑all surfaces QTY is® Roo on y all surfaces <br /> $ 0. 6 <br /> ❑ NOT REQUIRED 2-e24= 1 ag, -4 S <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigne a dress),print out Addr Letter from TRAKiT Print Menu and include) <br /> ❑ YES-TYPE:❑SFR []DUPLEX ❑ADU ❑INFILL DWELLING ❑ MULTI-FA LY ❑COMMERCIAL <br /> ❑See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with per its,scan one copy to PWClerical@everettwa.gov) <br /> ❑Digital copy attached to permit record,Permit# <br /> ❑Saved to Address Folder in Development Tech File <br /> ® NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? � C`� <br /> ❑ YES T � <br /> —Type lJ� <br /> ® NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ❑ YES,Permit#PW <br /> ❑Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT [-]Inspections Added in TRAKiT <br /> ® NOT REQUIRED <br /> Worksheet Completed By: / Date:12/22/2023 <br /> Worksheet Reviewed ByAgblr !SQ., *—Date: 2-3 <br />