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E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 17 E MARINE VIEW DR BLDG 1 Permit#: 131904-034 <br /> TENANT: CADMAN <br /> DESCRIPTION OF WORK: SOIL REMEDI��ArrTION RECYCLING FACILITY BY CADMAN <br /> PW Reviewer to select all that apply below: F;r ON Of K 8 see P 190-w5 O Csr , <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 Onlyi <br /> ze -❑ Per Cost Estimate <br /> ❑ Repair ❑Water Sys evelopment Fee Total: $ <br /> ❑ Cap-off, qu tity ❑ Sewer Sy Development Fee Total: $ <br /> ❑ Reconne ion to stub ❑Water rvice Line(behind meter), Size <br /> ❑ Backw er Valve ❑ Bac ow Prevention (Outside Building): ❑ RPBA or❑ DCVA <br /> I�NOTAEQUIRED &NO REQUIRED <br /> Explanation/Utility Permit#: Explanation/Utility Permit#: <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connecti n, Size ❑ New Conne t(on, Size - ❑ Per Cost Estimate <br /> ❑ Meter Only ize ❑%" Detec eter Only, Service Size <br /> ❑Water S tem Development Fee Total: $ ❑ Backfl Prevention (Outside Building): ❑ DCDA <br /> ❑ Bac90 Prevention (Outside Building): ❑ DCVA p-NOT EQUIRED <br /> P-NO REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPAR ENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑Yes, Quant' See attached for reference. <br /> 1A NOT RE IRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ❑ Backflow revention (Inside Building): ❑ DCVA(for Domestic service) ❑ RPBA(for Domestic service) ❑ DCDA(for Fire service) <br /> q NOT QUIRED <br /> Building Permits (Note: rmit Technic) to add all items selected below to associated Building Permit) <br /> STORMWATER SYSTEM D ELOPMENT FEES: TRAFFIC MITIGATION FEES: <br /> KYES, Stormwater Total: 4 4 8. 4 ❑YES,Traffic Mitigation Total: $ <br /> IFL Roof Only Fee on B g Permit(ground hard su aces fee on PW Permit) ❑ See Attached for calculations/credit <br /> ❑All Hard Surface Fe s to be added to Permit# Pa NOT REQUIRED <br /> O-3ee Attached Sprea sheet for calculations/dredit <br /> ❑ NOT REQUIRED <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) <br /> ❑YES-TYPE: SFR ❑ DUPLEX ❑ADU ❑ INFILL DWELLING ❑ MULTI-FAMILY ❑ COMMERCIAL <br /> El See ttached Letter, 2 copies(Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> ❑ 94ital copy attached to permit record, Permit# <br /> U/Saved to Address Folder in Development Tech File <br /> 0.NOT QUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type <br /> j�NOT R UIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> 0--YES, Permit#PW P`}a.S- 03.s- <br /> 0 Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By:~ Date: c`3l ZP, IZ-61 -L <br /> Worksheet Checked By: ADate: I� bo'i <br /> REVISED 42412019 <br />