2528 MAPLE ST 2019-11-06 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#WC‘O5 -b. 0 BUILDING PLANNING Intake OK by: 4 Date:31 E t 19 Intake OK by: 443 Date: 5/3/11 Intake Comments: Intake Comments: Assign To: fl -i- 101( h /s-}qpc rva e-k (n-10 -frau+ s . meed -to ve-nlry ❑ Route to Commercial Building 0 Attach to Project No. 4 Route to Residential Building 0 Route to Historic Reviewer Ake this a"W" Permit KOK to Route to Other Departments BIdgITI/Addn/Rem Sizeleid" 1 rPTA wai 11e Drawer Garage/Accessory Struct.Size Zone `2. Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use SIy/le—fah/L`lkt (C-Si Vle. Occupancy Group [,i Proposed No.of Dwelling Units: - U Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: - "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: �i RCW 64.55 MF worksheet req'd for permit? ❑Yes No El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes IR-No Additional Notes: VALUATION CALCULATION: Total$ 2.-4=;t7 Approved By: al Date: 5I[al PUBLIC WORKS Intake OK by: Pr? Date: 0 V17, 2 q c //LC Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: V 4'A 11,001/1.) Date: 5 1141161 ❑Backflow Prevention for high hazard: } t (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 ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: , ❑ This Permit is Approved by Public Works - RDrV i r�4 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder 0 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 i 0 Will be issued separately(Separate Green Fo r,PW issued ahead of Bldg) Approved By: Date: Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: ( �� Date. 05--/©, --� 612_)