915 N BROADWAY WSU 2019-09-04 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# a(QOS - 0 3c-t BUILDING PLANNING Intake OK by: Date: Intake OK by: Dater J 24 Intake Comments: Intake Comments: Assign To:—17 ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑,, Ro e to Historic Reviewer ❑ Make this a"W" Permit R.-OK to Route to Other Departments Bldg/TI/Addn/Rem Size ( [0 42- 0 Hold in Planning File Drawer , Garage/Accessory Struct. Size — Zone Number of Stories t. Overlay/Agreement 'I,., Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Cx \E Type of Construction Ve, Residential Use Occupancy Group () Proposed No.of Dwelling Units: Occupancy Load 3- Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System inNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System IJNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes MNo Additional Notes: VALUATION CALCULATION: Total$ 72, t'2D Approved By: ! Date: SJ2J1- 'PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: Days Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: etyDate:. h_'I i‘i ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder El Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Vs,, )- SO Ws Date: (9—/-1—\,(A Jazi Public Works has no scope---PW Not Required Additio otes: ELECTRICAL ,�y� 0 er r Additional Notes: ivl�..f'N t � �� V„"- ! Approved By: Date: Approved By: Date: Z