2201 36TH ST PRAXAIR 2020-02-24 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# (b` 0Z .-O SO BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: IN) egAer1C 6,011103 oc ck^0"1- A oig- mieuxtV per- 5 ,. ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ake this a"W"Permit 0 OK to Route to Other Departments Bld UAddn/Rem Size g‘:31�� ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone LA-1- Number of Stories Overlay/Agreement Basement LZINo ❑Yes , Fin/Unfin Nonresidential Use cej\ ,4Ve515zcJiGe 014,605 a, Type of Construction (j`'3 / Residential Use 5V0€6* Occupancy Group /s"'` / j Proposed No.of Dwelling Units: Occupancy Load 0205'/ 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 ZiNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: CaNo Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes L�J'No ❑Everett School Dist ❑Mukilteo Sc of Dist Add'I RCW 64.55 docs required prior to final? ❑Yes litNo Additional Notes: Mho coort-- Y Ci` v.- tti ow- i VALUATION CALCULATION: Total$ 10) 000 r h,2k S�IPej/.kA- W' Fiov. asci ' Slisfb�.►OR-;r►o es,(4c1►br c.)14040 re,ju A0 /o cd '4 ' 3 farr Approved By: K„1 Date: c6�22-1 PUBLIC WORKS Intake OK by:_(....4.32-7 Date: Additional Notes: Intake Comments: PW Worksheet Needed if: 5 du._ TZ -6214 'clew) WAi— ❑Sys Dev Eval OTraffic Mit Eval DSite Work or Drainage Proposed Approved By: Date:rUUcrao23/7 ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute 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 ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: t-^,..., y ❑ This Permit is Approved by Public Works /...\chi c``1 Z.-At 5?�i<)Gtr. 0 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(join with this folder for permit issuance) Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) • Approved By: , --/---Z..--- Date: 4 0‘.-4,2,2 /9 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: ) , Approved By: Date: zi q .. /y Approved By: 6.-__T. Date: 0 tic ?,