430 E CASINO RD 2020-01-21 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# rA«k 1 '0(13 BUILDING PLANNING Q Intake OK b Date: /�/zG/U/? Intake OK b Assign To: ��tCQ`,1 Date: 11 ,21`-ICt Intake Comments: Intake Comments: i\eeS, r\,e ,. 4VQ0Akk,\sZT� � . s scw-e. s\z cxs e Route to �"' "' El Attach to Project No. �G�ox 0\64a sei-€.01A , ❑ 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 -E-T \.)O Number of Stories Overlay/Agreement MOO Basement ❑No DYes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System ❑Not Req'd Planning/Landscape Inspection Required before Fi al? ❑Yes F1 No Reason Sprinklers Required: "In Lieu"Fee:Type: Amoun 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 0 No El Everett School Dist ❑Mukilteo Scho Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 0 No Additional Notes: . 40)ctLet,412"0- 01‘.1t- 40 ke_ 16-C t ti- VALUATION CALCULATION: Total$4J0.0'2 `*r<v/.. k.OL04^ p.S Q,C4nso 00--- [\(L-cer-- tt . Approved By: li .\\nl Date: ",71 t ►9 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if. 60Sys Dev Eval ❑Traffic Mit Eval €OSite Work or Drainage Proposed I❑Backflow Prevention for high hazard: Approved Date: /r 7`F 9' Vdental,medical,animals,mortuary,hospital, isupportive 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 El Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: This Permit is Approved by Public Works ❑ 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 ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder Coin 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 Additional Notes: Approved By: Date: Approved By: Date: 0