804 LOCUST ST 2019-11-06 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# ci eq o a,-01 t( BUILDING PLANNING Intake OK by: Date: Z/2-7(tat Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. aRoute to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments BldgfTl/Addy ize ('0 0 _ 0 Hold in Planning File Drawer Garage/Accessory Struct.Size '� Zone 1� Number of Stories a Overlay/Agreement Basement JENo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use a Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: `Mv,` Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes tNo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing [hew System CI Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes allo ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes EiNo Additional Notes: VALUATION CALCULATION: Total$ 92,2507 S� Approved By:C.-- ' Date: 2_Z. ,2O PUBLIC WORKS Intake OK by: Date: Additional Notes: 7_O is QAC Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval DSite Work or Drainage Proposed Approved By: - Date: OA//9 ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: EIThis project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm DOther: 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 ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder Qoin 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: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL (i)(1/K__ �� p i Ste,; 9�l tJ D�.��ar�r�ouv�j Additional Notes: Ui pi4) rl, rer Approved By: Date: Approved By: Date: Z��