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E V E R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 1215 80TH ST SW Permit#: B2204-048 <br /> TENANT: BAKER VIEW LOGISTICS CENTER <br /> DESCRIPTION OF WORK: NEW 166,590 SF WAREHOUSE DISTR BLDG-SHELL ONLY <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 2 connections to building ❑ New Connection, Size -❑ Per Cost Estimate <br /> ❑ Alteration ® Meter Only, Size 2inch -❑ Per Cost Estimate / <br /> ❑ Repair ® Water System Development Fee Total: $22,979.00 ✓ <br /> ❑ Cap-off,quantity Sewer System Development Fee Total:$29,739.00 <br /> ❑ Reconnection to stub ❑ Water Service Line(behind meter), Size <br /> ❑ Backwater Valve ❑ Backflow Prevention(Outs' a Building): ❑RPBA ❑ DCVA <br /> ❑ NOT REQUIRED t ❑ NOT REQUIRED <br /> Explanation/Utility Permit# �/ Z �2�2 '� ` ExplanationlUtilityPermit <br /> IRRIGATION SERVICE: (Not Including Cost Estimates) FIRE SERVICE: (Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection, S' e ❑ New Connection, Size -❑ Per Cost Estimate <br /> ❑ Meter Only, Siz ® '/" Detect Meter Only/Service a 61nch <br /> ❑ Water Syst Development Fee Total:$ ❑ Backflow Prevention ding): ❑DCDA <br /> ❑ Backflo revention(Outside Building): ❑DCVA ❑ NOT REQUIREDNOT EQUIRED Explanation/Utility PeLL L V <br /> E lanation/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 /> ❑ NOT REQUIRED <br /> Building Permits (Note:Permit Technici s to add all items selected b to asso fated Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT ES: TRAFFIC MITIGATION FEES: <br /> ® YES, ® See Attached for calculations/ redit ®YES,Traffic Mitigation Total: $ <br /> To be added on PW 2203-018 To be added on B2204-048 ❑See Attached f71cul'.jtione9dit <br /> Quantity charged 233,046 SF Quantity charged 166 399 F ❑ NOT REQUIRED <br /> QTY is ® Ground only❑ all surfaces QTY is® Roof only❑ all rfaces <br /> $62,409.72 $44,561.71 �Z <br /> ❑ NOT REQUIRED <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter f m 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# B2204-048 <br /> ® Saved to Address Folder in Development Tech File <br /> ❑ NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ® YES—Type <br /> ❑ NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ® YES, Permit#PW PW2203-018 <br /> ❑ Stormwater NPDES Tab Completed in TRAKiT ❑ADA Tab Completed in TRAKiT ❑ Inspections Added in TRAKiT <br /> ❑ NOT REQUIRED / <br /> Worksheet Completed By: ! Y !S P-4rh-AkA _ Date: !9 — <br /> Worksheet Completed By: Date: <br /> REVISED 1212212021 <br />