Laserfiche WebLink
E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 1726 100TH ST SW Permit#: B2207-086 <br /> TENANT: <br /> DESCRIPTION OF WORK: NEW SFR&DRIVEWAY-LOT B,WEST HOUSE <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 12� New Connection, Size $ 4„ -❑ Per Cost Estimate <br /> ❑Alteration ❑ Meter Only, Size -❑ Per Cost Estimate o <br /> ❑ Repair 19 Water System Development Fee Total:$ 93 1,a' <br /> ❑ Cap-off, quantity ❑ Sewer System Development Fee Total: $ yl JA <br /> ❑ Reconnection to stub ❑Water Service Line(behind meter), Size <br /> ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or❑ DCVA <br /> %NOT REQUIRED 1 ❑ NOT REQUIRED _ <br /> Explanation/Utility Permit#:VYI��I(�I I>✓o Setnrcr is► Explanation/Utility Permit#:�J�-3d3 UZ$ <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 ❑3/4" Detect Meter Only, Service Size <br /> ❑Water System Development Fee Total:$ ❑ Backflow Prevention (Outside Building): ❑ DCDA <br /> ❑ Backflow Prevention (Outside Building): ❑ DCVA 21 NOT REQUIRED <br /> KNOT REQUIRED Explanation/Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑Yes, Quantity See attached for reference. <br /> NOT REQUIRED <br /> Plumbing Permits (Note:Permit Technicians to add all items selected below to Plumbing Permit-for items inside building only) <br /> ❑ Backflow Prevention (Inside Building): ❑ DCVA(for Domestic service) ❑ RPBA (for Domestic service) ❑ DCDA(for Fire service) <br /> ULNOT REQUIRED <br /> Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: oo� <br /> ttI YES, f%.See Attached c julations/credit 01 YES,Traffic Mitigation Total:$ <br /> To be added on PW -62.2 To be added on ❑ See Attached for calculations/credit <br /> Quantity charged SF Quantity charged SF ❑ NOT REQUIRED <br /> QTY is ❑ Ground only❑ all hard surfaces QTY is ❑ Roof only❑all hard surfaces <br /> ❑ NOT REQUIRED w Y <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) <br /> 0,YES-TYPE: 5d SFR ❑ DUPLEX ❑ADU ❑ INFILL DWELLING ❑ MULTI-FAMILY ❑ COMMERCIAL <br /> 9See Attached Letter,2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> V-Digital copy attached to permit record, Permit# <br /> I(Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑YES-Type <br /> NOT REQUIRED <br /> eason: <br /> P BLIC WORKS PERMIT REQUIRED? <br /> YES, Permit#PW 1,1u-)-6LZ .�r" <br /> 13:A C(Stormwater NPDES Tab Completed in TRAKiT DA Tab Completed in TRAKiT ] Inspections Added in TRAKiT <br /> T Q I R E D I <br /> Worksheet Completed By Date: B -b toe 12t2'� <br /> Worksheet Checked By: Date: <br /> REVISED 11/27/2019 <br />