1620 MAPLE ST 2020-02-24 - Laserfiche WebLink

�i510� aF-tvr "ssw2. Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# M 66 '67,1-. BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit 0 OK to Route to Other Departments BldglTl/Addn/Rem Size 0 Hold in Planning File Drawer arag- Accessory Struct. Size 5((c, S ,4b ,.1 Zone Z Number of Stories 1 Overlay/Agreement Basement IBNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Ceita24 Occupancy Group (,,� Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Z Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 9c0 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 No ❑Everett School Dist ❑Mukilteo Scho Dist Add'RCW 64.55 docs required prior to final? ❑Yes EiNo Additional Notes: i2ove4.1 Coryk.e,r5 ANA-4". (V)o64P41 VALUATION CALCULATION: Total$ 731 7 36, h 91-4- \lei- (�J,fe - ,, Approved By: Date: PUBLIC WORKS Intake OK by:1 IJ Date: I I I z. / I a Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: 2h9'//8 ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT oute 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) El Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 17 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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL 1Zou-rte -4o "?\N v•iKEM (ZEvISC-t, Slie T*-' Additional Notes: IS TLIa�F'w£.� 'Foa— S—rA. AP. Approved By: Date: Approved B :% ` Date: /1 /29 /2org