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1903 W MUKILTEO BLVD 2020-02-24
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W MUKILTEO BLVD
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1903
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1903 W MUKILTEO BLVD 2020-02-24
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Last modified
2/24/2020 10:30:47 AM
Creation date
2/24/2020 10:30:12 AM
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Address Document
Street Name
W MUKILTEO BLVD
Street Number
1903
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ewl°1°2-0Q <br /> Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#tri <br /> ( --a) <br /> BUILDING PLANNING <br /> Intake OK by. A Date:42-A0/2-07 Intake OK by: Date: 2. -0(4, `ZGL9 <br /> Intake Comments: Intake Comments: Assign To: g•90\ <br /> C—Atr .,c\nK\ea Cc)v e AD \5 t e.Tk i'2O1 <br /> be cec oc eco c got-- Nce. eizsmn ‘SSUalit.CR <br /> ❑ Route to Commercial Building 0 Attach to Project No. <br /> ❑ Route to Residential Building 0 Route to Historic Reviewer <br /> ❑ Make this a"W"Permit ® OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size ❑ Hold in Planning Fil Drawer <br /> Garage/Accessory Struct.Size Zone - 4_ S <br /> Number of Stories Overlay/Agreement <br /> Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use <br /> Type of Construction Residential Use ' <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupancy Load Total No. of Dwelling Units: C25i`2 <br /> Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ©No <br /> Reason Sprinklers Required: "In Lieu" Fee:Type:_ Amount$ <br /> Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: <br /> VALUATION CALCULATION: Total <br /> Approved Date: IA,n2, 2C \� <br /> C.04.-0 0,_al Y.,vt aj se-.)2-e-- <br /> PUBLIC WORKS <br /> Lk — J f ` Intake OK by: 6/ Date: VI 12,4 A, <br /> Additional Notes: Intake Comments: PW Worksheet Needed if: <br /> ❑Sys Dev Eval ❑Traffic Mit Eval <br /> [ a l.•-•-j led,0& ❑Site Work or Drainage Proposed <br /> Approved By: Yb 0 1\0 <br /> 1 f,10,CS Date: ) to 1 V260 `� ❑Backflow Prevention for high hazard: <br /> lY' (dental,medical,animals,mortuary,hospital, <br /> supportive housing) <br /> FIRE DEPARTMENT II Route this folder for PW Review at end ---PW Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW-Review(Green Folder) <br /> ❑Route to Fire Drawer---Fire Preliminary Review Notice AND jiti Create Green Folder ❑Submitted Previously ❑Deferred <br /> ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items <br /> r <br /> � <br /> Fire Sprinklers: ❑Update Existing [hew System 0 Not Req'd A Separate PW Permit is Required (Permit#: PW IA—p0' ) <br /> Fire Alarm: ❑Update Existing [hew System 0 Not Req'd AND ❑ Is located in this folder <br /> Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) <br /> Additional Notes: ' ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: riPublic Works has no scope---PW Not Required <br /> 7 rtional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: -— a Date: ,3^/ <br />
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