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FE V E R E T T PUBLICWASHINGTON ®R�`S REVIEW W©RKSHEET <br /> CT ADDRESS: 1617 OAKES AVE Permit#: B2205-005 <br /> TENANT: <br /> DESCRIPTION OF WORK: NEW 20'X36'WOOD FRAME GARAGE <br /> PW Reviewer to select all that api)ly below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Pen-nit 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 Only, Size - ❑ Per Cost Estimate <br /> ❑ Repair ❑ Water System Development Fee Total: $ <br /> ❑ Cap-off, quantity ❑ Sewer System Development Fee Total: $ <br /> ❑ Reconnection to stub ❑ Water Service Line (behind meter), Size <br /> ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or❑ DCVA <br /> g-NOT REQUIRED W-NOT 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 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 R�NOT REQUIRED <br /> ONOT REQUIRED Explanation/ Utility Permit#: <br /> Explanation/Utility Permit#: <br /> WATER DEPARTMENT COST ESTIMATE NEEDED-(Ifyes, PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes, Quantity See attached for reference. <br /> E<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 /> $<NOT 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: <br /> 0—YES, See Attached for calculations/credit ❑ YES,Traffic Mitigation Total: $ <br /> To be added on PW To be added on 224>S- DGs ❑ See Attached for calculations/credit <br /> Quantity charged SF Quantity charged I I A SF W-NOT REQUIRED <br /> QTY is ❑ Ground only ❑ all hard surfaces QTY 's ❑ Roof only Id all hard surfaces <br /> $ $ 0. 53 <br /> ❑ NOT REQUIRED <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑ YES—TYPE: ❑ SFR ❑ DUPLEX ❑ ADU ❑ INFILL DWELLING ❑ MULTI-FAMILY ❑ COMMERCIAL <br /> ❑ See Attached Letter, 2 copies (Permit Techs to issue one copy to applicant with permits, scan one copy to Jeffrey Marks) <br /> ❑ Digital copy attached to permit record, Permit# <br /> ❑ Saved to Address Folder in Development Tech File <br /> $,NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑ YES—Type <br /> KNOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ❑ YES, Permit# PW <br /> ❑ Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED <br /> Worksheet Completed By: � Date: C3-I I2 4- Is,-, <br /> Z <br /> WorksheeI Checked By: Date: <br /> REVISED 17g,?120t9 -� - <br />