5109 SEAHURST AVE 2025-12-12 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 5109 SEAHURST Permit#: PW1905-036 TENANT: [TenName] DESCRIPTION OF WORK: SITE WORK FOR 2 LOT SP Qm ]� � C�i��8N Qet( oe(/ Cvr�P.5•+ PW Reviewer to select all that apply below: 3 l3✓~ NEW -3/4" COKN ,MUN W Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, 6 h1emk S&iTZ4 4 UGC, M67f4c SANITARY SEWER: DOMESTI( - SY3Ttim P:New Connection to main plus ✓ connections to building r—M.New Co � 'V 'Q T ❑Alteration ❑ Meter O rf£S -70 66 FVKCrE(I1K(FD UlNDF<r ❑ Repair ,/ ❑Water ❑ Cap-off, quantity Jl2, &lS ❑ Sewer [-,- Wt�BUi��iN4 ❑ Reconnection to stub ❑Water ❑ Backwater Valve ❑ Backflo, ❑ NOT REQUIRED ❑ NOT Rf ft4MM Explanation/Utility Permit#: Explanatic IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SEF ❑ New Connection, Size ❑ New CI ❑ Meter Only, Size ❑%" Det, ❑Water System Development Fee Total:$ ❑ Backflow , __. ❑ Backflow Prevention (Outside Building): ❑ DCVA }SNOT REQUIRED (a-NOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(lfyes, PW Reviewer to send cost estimate request to Water Department) ❑Yes, Quantity See attached for reference. jig 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) JKNOT REQUIRED Building Permits (Note:Permit Technicians to add all items selected below to associated Building Permit) STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATION FEES: $(YES, Stormwater Total: $ -7(c 1. S'Z ❑ YES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) ❑ See Attached for calculations/credit 5�AII Hard Surface Fees to be added to Permit#-R j L 90S-03 y I NOT REQUIRED ❑ See Attached Spreadsheet for calculations/credit ❑ 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 C",IOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑YES-Type 5LNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? OYES, Permit#PW 15aS o3 (. 2 Stormwater NPDES Tab Completed in TRAKiT ki-ADA Tab Completed in TRAKiT Ef4nspections Added in TRAKiT ❑ NOT REQUIRED Worksheet Completed By: Date: Worksheet Checked By: Date: REVISED 4/24/2019