3402 MCDOUGALL AVE SNO CO PW 2020-01-30

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# WN 1 sic,0CD a--co j BUILDING PLANNING IT211 Intake OK by: y'�/ Date: g 2 Intake OK by Date: , Q Intake CommenIntake Comments: k Assign To: � �(a(� w folio ,c-ov O Route to Commercial Building At ❑Attach to Project No. ❑ Route to Residential Building ❑5pute to Historic Reviewer ❑ Make this a"W"Permit aOK to Route to Other Departments ) Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer t Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑No Oyes , 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 ❑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 ❑New System ❑Not Req'd School Impact Fee: Total $ _ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? Oyes 0 No El Everett School Dist ❑Mukilteo School Dist. Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: C41,1j7 rittedS .1-v ?a./4 r VALUATION CALCULATION: Total$ grt y or e3-ar k' a //: SkGJ j to '1 P7 Approved B Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Wo heet Needed if: ❑' s Dev Eval ❑Traffic Mit Eval ■Site Work or Drainage Proposed Approved By: Date: t d 2L0� l� ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute this fold- or PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This projec Iso has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑C'-ate Green Folder OSubmitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 T ' Permit is Approved by Public Works Date: (OK to Route to Other Departments) ■ ee PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd • 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 ❑ Not Req'd 0 Is in a Separate Green Folder(loin with this folder for permit issuance) Additional Notes: ❑ 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: