9584 7TH AVE SE 2025-09-16 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 9584 7TH AVE SE Permit#: B2403-081 DESCRIPTION OF WORK: NEW SINGLE FAMILY HOME-RB2306-001 THELON-CHELSEA HEIGHTS 28 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) NITARY SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) ® New Connection to main plus 1 connections to building New Connection,Size - ❑Per Cost Estimate I ❑ Alteration y� Meter Only,Size 1 Inch-❑Per Cost Estimate ❑ Repair ® Water System Development Fee Total:$4,577.00"V'0 ❑ Cap-off,quantity Sewer System Development Fee Total:$4,028.00 ❑ Reconnection to stub Water Service Line(behind meter),Size 1 inch ❑ Backwater Valve ❑ Backflow Prevention(Outside Building):❑RPBA ❑DCVA ❑ NOT REQUIRED ❑ NOT REQUIRED Explanation/Utility Permit It Explanation/Utility Permit# IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) ❑ New Connection,Size ❑ New Connection,Size -❑ Per Cost Estimate ❑ Meter Only,Size ❑ %"Detect Meter Only,Service Size ❑ Water System Development Fee Total:$ ❑ Backflow Prevention(Outside Building):❑DCDA ❑ Backflow Prevention(Outside Building):❑DCVA ® NOT REQUIRED ® NOT REQUIRED Explanation/Utility Permit It 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. ® 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) ❑RPBA(for Domestic service) ❑DCDA(for Fire service) ® NOT REQUIRED Building Permits(Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: ® YES,®See Attached for calculations/credit ®YES,Traffic Mitigation Total:$5,592.00 To be added on PW To be added on B2403-081 ®See Attached for calculations/creIr t Quantity charged SF Quantity c arged 15045F ❑ NOT REQUIRED CITY is❑Ground only❑all surfaces QTY is® f only❑all surfaces $ 449.40 ❑ 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@everettwa.gov) ®Digital copy attached to permit record,Permit#132403-081 Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ® YES—Type 13D ❑ NOT REQUIRED Reason:Per note on civil plan PUBLIC WORKS PERMIT REQUIRED? ® YES,Permit It PWPW2404-020 ®Stormwater NPDES Tab Completed in TRAKiT ®ADA Tab Completed in TRAKiT ❑Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: lm)a nn__•• Date:0410312024 Worksheet Reviewed By:"' Date: ptf ��ZH