3421 TULALIP AVE 2025-11-03 - Laserfiche WebLink

E V E R E T T PUBLIC WORKS REVIEW WORKSHEET WASHINGTON PROJECT ADDRESS: 3421 TULALIP AVE Permit#: BW2010-002 TENANT: [TenName] DESCRIPTION OF WORK: RENOVATE EXTG SFR, PREVIOUS PERMIT EXPIRED CW1703-004 PW Reviewer to select all that apply below: Utility Permits (Note:Pen-nit 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 - ❑ Per Cost Estimate ❑Alteration ❑ Meter Only, Size - ❑ Per Cost Estimate ❑ Repair ❑Water System Development Fee Total: $ ❑ Cap-off,quantity ❑ Sewer System Development Fee Total: $ ❑ Reconnection to stub ❑Water Service Line(behind meter), Size ❑ Backwater Valve ❑ Backflow Prevention (Outside Building): ❑ RPBA or❑ DCVA P,'NOT REQUIRED .SNOT REQUIRED Explanation/Utility Permit#: 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:$ ❑�ackflow Prevention (Outside Building): ❑ DCDA ❑ Backflow Prevention(Outside Building): ❑ DCVA OT REQUIRED ,CLNOT REQUIRED Explanation/Utility Permit#: Explanation/Utility Permit#: WATER DEPARTMENT COST ESTIMATE NEEDED-(If yes, PW Reviewerto send cost estimate request to Water Department) ❑ Yes, Quantity See attached for reference. eNOT 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, Stormwater Total: $ j2, 2.4 ❑YES,Traffic Mitigation Total: $ ❑ Roof Only Fee on Bldg Permit(ground hard surfaces fee on PW Permit) ❑ See Attached for calculations/credit L�AII Hard Surface Fees to be added to Permit# '5yJ2U10- 002 I!(,NOT REQUIRED 'See Attached Spreadsheet for calculations/credit ❑ NOT REQUIRED Additional Checklists: ADDRESS LETTER REQUIRED? (If yes (new assigned address),printout 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 NOT REQUIRED FIRE SPRINKLERS REQUIRED? ❑ YES—Type KNOT REQUIRED Reason: PUBLIC WORKS PERMIT REQUIRED? ❑YES, Permit#PW ❑ Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT A.NOT REQUIRED Worksheet Completed By'- :a;e'� Date: &ZZ 2c Z.o Worksheet Checked By: Date: REVISED 11/17l1019