1507 RUCKER AVE 2025-10-06 - Laserfiche WebLink

EVERETT PUBLIC WORKS REVIEW WOR WASHINGTON KSHEET rMUJr-U I AUUKt55: TENANT: DESCRIPTION OF WORK: 1507 RUCKER AVE Permit #: B2109-049 DETACHED GARAGE W/ 2ND STORY STORAGE Utility Permits (Note: Permit Technicians to Create Utility Permit for Sewer, Water, Fire, and Irrigation, as selected below) SANITARY SEWER: ❑ New Connection to main plus ❑ Alteration ❑ Repair ❑ Cap -off, quantity ❑ Reconnection to stub ❑ Backwater Valve W-NOT REQUIRED Explanation/ Utility Permit #: connections to building IRRIGATION SERVICE: (Not Including Cost Estimates) ❑ New Connection, Size ❑ Meter Only, Size ❑ Water System Development Fee Total: $ ❑ Backflow Prevention (Outside Building): ❑ DCVA GekOT REQUIRED Explanation/ Utility Permit #: DOMESTIC WATER SERVICE: (Attach Calculation & Cost Est.) ❑ New Connection, Size - ❑ Per Cost Estimate ❑ Meter Only, Size - ❑ Per Cost Estimate ❑ Water System Development Fee Total: $ ❑ Sewer System Development Fee Total: $ ❑ Water Service Line (behind meter), Size ❑ Backflow Prevention (Outside Building): ❑ RPBA or ❑ DCVA 14-NOT REQUIRED Explanation/ Utility Permit #: FIRE SERVICE: (Attach Cost Estimate /Request for Reference) ❑ New Connection, Size - ❑ Per Cost Estimate ❑ 3/4" Detect Meter Only, Service Size ❑ Backflow Prevention (Outside Building): ❑ DCDA &LNOT REQUIRED Explanation/ Utility Permit #: WATER DEPARTMENT COST ESTIMATE NEEDED-(/f yes, PW Reviewer to send cost estimate request to Water Department) ❑ Yes, Quantity See attached for reference. W-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) RIOT REQUIRED Building Permits (Note: Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: DYES, U�See Attached for calculations / credit ❑ YES, Traffic Mitigation Total: $ To be added on PW 30 1 -0 oS' To be added on �321 0 4',c,¢ 4 ❑See Attached for calculations /credit Quantity charged SF Quantity charged 4.-4o SF JdNOT REQUIRED QTY is ground only ❑ all hard surfaces QTY is P Soof only ❑ all hard surfaces $ sc_ ¢2 $ tt-L, g3 ❑ 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 Jeffrey Marks) ❑ Digital copy attached to permit record, Permit # ❑ Saved to Address Folder in Development Tech File "OT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES —Type NOT REQUIRED PUBLIC WORKS PERMIT REQUIRED? Permit # PW A—Stormwater NPDES Tab Completed in TRAKiT jg:'ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed Bye Date: O( 1T Worksheet Checked By: Date: