1620 MAPLE ST 2020-02-24 - Laserfiche WebLink

'-il Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 61 q 1)5 J 0 2- BUILDING PLANNING Intake OK by:_ Date:j9LWA5 Intake OK by: 0- 1-- Date: 1-- -')g Intake Comments: Intake Comments: Assign To: '4 • 3 ef'°ec ( " s2 ,r>�;.. ❑ Route to Commercial Building 0 Attach to Project No. 0 Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ADolu 12,61,1 0 OK to Route to Other Departments do TI/Addn,j Size fi0 /2-$ 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone R_-Z. Number of Storiesp�t'�'' I Overlay/Agreement _ E Basement lNo DYes , Fin/Unfin Nonresidential Use Type of Construction `"Q Q Residential Use d,.¢4 S ff-- Occupancy Group tit Proposed No.of Dwelling Units: — Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System KNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes iZINo Reason Sprinklers Required: "In Lieu" Fee:Type: — Amount$ -- Fire Alarm: ID Update Existing ❑New System Mot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: — Credit: — RCW 64.55 MF worksheet req'd for permit? ❑Yes Et.No ❑Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes END Additional Notes: \ a Sp toe— S4. '6 0/00‘. VALUATION CALCULATION: Total$ 1. 13 ,o oftbea a- 2yiSh ;S J 100 Approved By: 1 Date: 1 t_I. 1 c J PUBLIC WORKS Intake OK by: - z.—A.3 Date: o,120 /r' Additional Notes: Zo/55- /2G Intake Comments: PW Worksheet Needed if: 4 ag Sf A41"4" ❑Sys Dev Eval ❑Traffic Mit Eval Cj'rp sf 'Woo S Rsite Work or Drainage Proposed Approved By: 4:4' Date: `d/`7/ ❑Backflow Prevention for high hazard: 6 (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT F°'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 DA This Permit is Approved by Public Works Date: (OK to Route to Other Departments) cg See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd rktA Separate PW Permit is Required (Permit#: PW 1•1,1C.'GP IS Z ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND Als 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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved Date: 1p/ /Zp/$