2609 CHESTNUT ST 2020-04-01 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# CIRD2-0 DC?) BUILDING a z` N` i RpoSENG F £ Intake OK by: c44.7 Date: 2-/-21// Intake OK by: Date: Intake Comments: Intake Comments: Assign To: • fj2 Ql 1 °►Can't ❑ Route to Commercial Building 0 Attach to Project No. J =' Route to Residential Building 0 Route to Historic Reviewer 17 .Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone R---z_ Number of Stories 2 Overlay/Agreement Basement sJo ❑Yes , Fin/Unfin Nonresidential Use n Type of Construction Residential Use �,-��Jt..q rd�__ Occupancy Group 12-- Proposed No.of Dwelling Units: — Occupancy Load Total No. of Dwelling Units: 1 Fire Sprinklers: ❑Update Existing Mew System :Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes jNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System [hot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: redit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ELNo ❑Everett School Dist -Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes I ,No Additional Notes: • •i 4 J iti (-Ai/I"- VALUATION CALCULATION: Total$ Z�L ` `.A S� ft � . ' 1AA,3 i( u've- r -i 1 s$.Mn(,e Approved By: ' 'L, ), Date: Z_i-)9 MigetataiiinVidtPOPAIMASWitiatintrtiVar!': Intake OK by: Date: Additional Notes: "Z__(:,[s--- ((C +' (4)SOC.- Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: dit" Date: 2///9 ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, ,,. 1=f9DEPAI -IVILNT ,,` ❑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 PreliminaryRew1Qotice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to to to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Upda xisting ❑New System 0 Not Req'd 0 A Separate PW Permit is Required(Permit#: PW ) Fire Alarm: pdate Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical S : ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Addition Notes:lfi((JJi '%lEl Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ ADD FIRE FEE 0 N s FIRE FEE IIPublic Works has no scope PW Not Required Approved By: Date: Additional Notes:ay IZMITMEViiil Additional Notes: Approved By: Date: Approved By: -,--43.75(/ Date: r�