8215 BROADWAY 2020-01-21 - Laserfiche WebLink

Intake &Approval Sheet I (FOR PERMIT STAFF ONLY) PERMIT#t)\113\ tO OZ BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route.to Commercial Building Attach to Project No. c•,JT r6"'"010 ❑ Route to Residential Building Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone C.— I Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use j rY)OJ n e UL__ Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Klo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount Fire Alarm: ❑Update Existing ❑New System El Not 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 ❑Mukilt o School Dist Add'!RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: �.t_.t Ll req s • 510 - 6,e_ a'i j VALUATION CALCULATION: Total$ 6�r rn �� ,n , e C 14,yq B Approved By: " r'� Date: 3-7,1— let 1 Qt./1 PUBLIC WORKS Intake OK by: Date: Additional Notes: Frt.]c,W t-ktt eq w-r E,(C EO`o Intake Comments: PW Worksheet Needed if: `-I--D` . 134atLiot writ nR.tvir'c''' R. Cz"P ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: C/ - !Date: 3/4I//Q ❑Backflow Prevention for high hazard: (J (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route 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: �,A This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ) 0 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(join with this folder for permit issuance) Review/Inspection/ tope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: 66/ Date: `-///Dp ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: _ Approved By: Date: Approved By: .j� ,- j Date: 4-/ /(o �� ©2—