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RE E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> RE <br /> WASHINGTON <br /> PROJECT ADDRESS: 6801 SEAWAY BLVD Permit#: B2203-043 <br /> TENANT: SHELL ONLY-SEAWAY COMMERCIAL CENTER <br /> DESCRIPTION OF WORK: NEW TILT-UP CONCRETE PANEL WAREHOUSE-SHELL ONLY <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 1 connections to building ❑ New Connection, Size -❑ Per Cost Estimate <br /> ❑ Alteration ® Meter Only, Size 2"-❑ Per Cost Estimate <br /> ❑ Repair ® Water System Development Fee Total:$22979.00 <br /> ❑ Cap-off, quantity ® Sewer System Development Fee Total:$29739.00 <br /> ❑ Reconnection to stub ❑ ater Service Line(behind meter), Size <br /> ❑ Backwater Valve Backflow Prevention(Outside Building):,RPBA El DCVA <br /> Explanation/Utility ao ton/QUIRED Utilitty Permit#�Z� ` �� "' NOT REQUIRED <br /> _ <br /> Explanation/Utility Permit# U1/4� '450(-47 <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 2" ® 34" Detect Meter Only, Service Size 6" <br /> ® Water System Development Fee Total:$22979.00 Backflow Prevention(Outside Building): 1I ICDA <br /> • Backflow Prevention (Outside Building): ®DCVA NOT REQUIRED <br /> ❑ NOT REQUIRED Explanation/Utility Permit#U� .co$ <br /> Explanation/Utility Permit# K Z� CO <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(lf yes, PWReviewerto send cost estimate request to Water Department) <br /> ® Yes, Quantity 2 , 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(for Domestic service) ®RPBA(for Domestic service) ®DCDA(for Fire service) <br /> El NOT REQUIRED <br /> Building Permits (Note:Permit Techni 'ans to add all items selecte below to ass crated Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT EES: TRAFFIC MITIGATION FEES: <br /> ® YES, ❑ See Attached for calculations credit ®YES,Traffic Mitigation Total: $83,825.00 <br /> To be added on PW2203-015 To be added on ®See Attached for calculations/credit/ <br /> Quantity chargedtsaUsSF Quantity charged SF ❑ NOT REQUIRED <br /> QTY is❑ Ground only®all surface QTY is El Roof only❑ all surfaces �22©3--� <br /> $ s�o}S4•'b1 ' ` <br /> El NOT REQUIRED Nk- <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Addres Letter from TRAKiT Print Menu and include) <br /> ®YES-TYPE: ❑ SFR ❑ 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#B2203-043 <br /> ® Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ® YES-Type NFPA 13 <br /> ❑ NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ® YES, Permit#PW2203-015 <br /> ® Stormwater NPDES Tab Completed in TRAKiT ®ADA Tab Completed in TRAKiT ® Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: - Date: Z(z /-o Z3 <br /> Worksheet Completed By: Date: 67-2 9 - 2023 <br /> REVISED 12/22/2021 <br />