Laserfiche WebLink
EVE R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 4326 CRESCENT AVE Permit#: B2312-001 <br /> DESCRIPTION OF WORK: NEW SFR REF RB2307-001 <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 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,q tity ❑ Sewer Syste Development Fee Total:$ <br /> ❑ Reconn tion-to stub ❑ Water Se ce Line(behind meter),Size <br /> ❑ Bac ater Valve ❑ Backf Prevention(Outside Building):❑RPBA ❑DCVA <br /> ® N REQUIRED ® N REQUIRED <br /> xplanation/Utility Permit#U231 -052 Explanation/Utility Permit#U2311-052 <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 ❑ W Detect Meter Only,Service Size <br /> ❑ WateKEOU <br /> m Development Fee Total:$ ❑ Bac ow Prevention(Outside Building):❑ DCDA <br /> ❑ Backfevention(Outside Building):❑DCVA ® N REQUIRED <br /> ® NOTRED xplanation/Utility Permit# <br /> Ex lanation/Utility Permit# <br /> WATER DEPA MENT COST ESTIMATE NEEDED-(/f yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Quentitv See attached for reference. <br /> ® NOT QUIRED <br /> Plumbing Per its(Note:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Backflow Pr ention(Inside Building): ❑DCVA(for Domestic service) ❑ RPBA(for Domestic service) ❑DCDA(for Fire service) <br /> ® NOT QUIRED <br /> Building Permits(Note:Permit Technicians to add all items selected below t sociated Building P mit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> ® YES,❑See A ched for calculations/cr it ® YES,Traffic Mitigation Total:$4 3.00 <br /> To be aid n PW To be added on B2312-001 <br /> See Attached for calcul tions/credit <br /> Quantit arged SF Quantity charged 12405F ❑ NOT REQUIRED ssg2 <br /> QTY i Ground only❑all surfaces QTY is® Roof only❑all surfaces <br /> KEQUIRED <br /> 678.00 <br /> 902 )a— <br /> dditional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address),print out Address 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 PWClerical@everettwo.gov) <br /> ®Digital copy attached to permit record,Permit#B2312-001 <br /> ®Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑ YES Type <br /> ® NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ® YES,Permit#PWPW2103-018 <br /> ®Stormwater NPDES Tab Completed in TRAKFF ®ADA Tab Completed in TRAKiT ® Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: ! `I?el� Date:1211,919023 <br /> Worksheet Reviewed By: %�� � Date: — 2O 2 3 <br />