1720 100TH ST SW 2025-11-07 - Laserfiche WebLink

t EVERETT PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 1720 100TH ST SW Permit#: B2207-091 DESCRIPTION OF WORK: NEW SFR&DRIVEWAY-LOT A, EAST HOUSE 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) SANITARY SEWER: DOMESTIC WATER SERVICE: (Attach Calculation&Cost Est.) ❑ New Connection to main plus connections to building ® New Connection, Size 3/4" -❑ Per Cost Estimate ❑ Alteration ❑ Meter Only,Size y -❑ Per Cost Estimate ❑ Repair ® Water System Development Fee Total: $4311.00 ❑ Cap-off,quantity ❑ Sewer System Development Fee Total:$ ❑ Reconnection to stub ❑ Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention(Outside Building): ❑RPBA ❑ DCVA ® NOT REQUIRED ❑ NOT REQUIRED Explanation/Utility Permit# MUKILTEO SEWER DISTRICT 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# 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: $4993.00 To be added on PW To be added on ❑See Attached for calculations/credit Quantity charged SF Quantity charged SF ❑ NOT REQUIRED QTY is❑ Ground only❑ all surfaces QTY is❑ Roof only❑ all surfaces ® NOT REQUIRED ph 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#B2207-091 ® Saved to Address Folder in Development Tech File ❑ NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES—Type 7 ® NOT REQUIRED / Reason: PUBLIC WORKS PERMIT REQUIRED? ® YES, Permit#PW2207-024 ® Stormwater NPDES Tab Completed in TRAKiT ®ADA Tab Completed in TRAKiT Inspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By:t U*'.WAM6#MZ Date: Worksheet Completed By: Date: REVISED 10/07/2022