2803 MAPLE ST 2019-11-06 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#C$O4:1 _W4— BUILDING W4— BUILDING PLANNING Intake OK by: "' Date: Ci(z. S Intake OK by(__. Date: --21e g Intake Comments: Intake Comments: Assign To:7;We./1 on k -fry Route_ ❑ Route to Commercial Building 0 Attach to Project No. oute to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit L&�JOK to Route to Other Departments 0)/12//5 Bldg/TI/Addn/Rem Size dlicirelirrPlanning File Drawer fie V/DUS//JJ/ //11—I> \ Garage/Accessory Struct. Size Zone L(rn' 1 l: Number of Stories Overlay/Agreement No AJ' ' Basement ONo ❑Yes , Fin/Unfin Nonresidential Use - Type of Construction Residential Use CCFR Occupancy Group Proposed No.of Dwelling Units: NO/u e Occupancy Load Total No. of Dwelling Units: I ,.,/ Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes J2 Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes lErNo ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 'No Additional Notes: 1.0/40 V4ranif./o IL/� a,tvi s2 VALUATION CALCULATION: Total $ ZeckI t� `" (J IS now anon co .Arrrzing til-e"• Approved Bye Date: lI el l r • PUBLIC WORKS Intake OK by:._ S. Date: "/Z6/2O1 g Additional Notes: 2,9/s" /2,L .0 u.)s-g.. Intake Comments: PW Worksheet Needed if: goAre U PIA) S ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: <ti' Date: ///z a)b8 o .bdc'?It'' ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT El Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: q� / Approved By: Date: Approved By: Date: ! 4/z,Nrg'