9107 9TH AVE SE 2025-08-22 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 9107 9TH AVE SE Permit#:B2311-015 DESCRIPTION OF WORK: NEW SUN DECK AT BACK AND ENLARGE BEDROOMS OVER GARAGE PW Reviewer to select all that apply below: Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water,Fire,and Irrigation,as selected below) SANITARY SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) ❑ New Connection to main plus connections to building ❑ New Connection,Size - ❑Per Cost Estimate ❑ Alteration ❑ Meter Only,Size -❑Per Cost Estimate ❑ Repair ❑ Water System Development Fee Total:$ ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ ❑ Reconnection to stub ❑ Water service Line(behind meter),Size ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):❑RPBA ❑DCVA ® NOT REQUIRED E NOT REQUIRED Explanation/Utility Permit If Explanation/Utility Permit It IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) ❑ New Connection,Size ❑ New Connection,Size -❑Per Cost Estimate ❑ Meter Only,Size ❑ %"Detect Meter Only,Service Size ❑ Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building):❑DCDA ❑ Backflow Prevention(Outside Building):❑DCVA ® NOT REQUIRED ® NOT REQUIRED Explanation/Utility Permit# Explanation/Utility Permit# WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes,PW Reviewer to send cost estimate request to Water Department) ❑ Yes,Quantity ,See attached for reference. E NOT REQUIRED Plumbing Permits(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) Backflow Prevention(Inside Building): ❑DCVA(for Domestic service) ❑RP BA(for Domestic service) ❑DCDA(for Fire service) E NOT REQUIRED Building Permits(Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: E YES,E See Attached for calculations/credit ❑ YES,Traffic Mitigation Total:$ To be added on PW To be added on B2311-015 ❑See Attached for calculations/credit Quantity charged SF Quantity charged 650SF E NOT REQUIRED QTY is❑Ground only❑all surfaces QTY is❑Roof only E all surfaces $ $173.94 ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes(new assigned address),print out Address Letter from TRAKiT Print Menu and include) ❑ YES—TYPE:❑SFR ❑DUPLEX ❑ADU ❑INFILL DWELLING ❑MULTI-FAMILY ❑COMMERCIAL ❑See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits,scan one copy to PWClerical@everettwo.gov) ❑Digital copy attached to permit record,Permit# ❑Saved to Address Folder in Development Tech File E NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES Type E NOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑ YES,Permit#PW ❑Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑Inspections Added in TRAKiT E NOT REQUIRED Worksheet Completed By: /aGG Date: ��I20�202.3 Worksheet Reviewed By: 74a V&*4tLa'" Date: P��20�ZOZ3