2321 ADAMS AVE 2020-05-06 - Laserfiche WebLink

Intake &Approval Sheet •- (FOR PERMIT STAFF ONLY) PERMIT# e ,IsOCk CO3 BUILDING PLANNING Intake OK by: Date: R,t1//4:9, Intake OK by: Y Date: 9.(0'Iet< Intake Comments: Intake Comments: Assign To: 11-s- CJ q:),),\X‘/10\ c^ Lca'rs 2,S4-7.,(0 or.k,-))0241"0 sJwr 4 Pv-gi-iti Aclo4,5 ,licW o? ;P aw.` i!-1w01 ;'k recq,.i ❑ Route to Commercial Building 0 Attach to Project No. ►,% Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit EA OK to Route to Other Departments wtr qhs Id I/Addn/Rem Size /7'f y ,S': Igt Hold in Planning File Drawer Garage/Accessory Struct.Size 'flf Zone R.2 Number of Stories 2- Overlay/Agreement Basement RINo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction ma Residential Use Atekaavell 5 Occupancy Group giA.( Proposed No. of Dwelling Units: 1 Occupancy Load Total No.of Dwelling Units: ',., Fire Sprinklers: El Update Existing ❑New System El Not Req'd Planning/Landscape Inspection Required before Final? ❑Yeso Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ 0 r_ Reason Fire Alarm Required: Calculated: (AS-0 Credit: (0q U RCW 64.55 MF worksheet req'd for permit? ❑Yes No ErEverett School Dist ❑Mukilteo School iDist. Add'I RCW 64.55 docs required prior to final? ❑Yes I No Additional Notes: 9 co/y j S11gY1AkV- dealt VALUATION CALCULATION: Total$ 2Zt 540 Mont EMG IA.a WO J 22-21 Approved By: 1144 Date: ‘19- PUBLIC WORKS Intake OK by:" Date: Qho II it) Additional Notes: 2,0/5 f fQC_ 10. Ws�C Intake Comments: PW Worksheet Needed if: / A..\icw Suers. 2'S J is Dev Eval Traffic Mit Eval V elli- / ink/if l le 4o 1..e w1Ew t w4P, fasite Work or Drainage Proposed Approved By: Date: it/�g� ❑Backflow Prevention for high hazard: / `• (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ®'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 OSending Fire Notes to Project Team Fhis Permit is Approved by Public Works Date: (OK to Route to Other Departments) ee PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 1V Not Req'd OA Separate PW Permit is Required (Permit#: PW 1811 -054 ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND Lg.Is located in this folder Chemical Sup: ❑Update Existing ONew System 1/44 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: <J6 k, Date: iiii i.,/jtr, 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: it 420✓ I.l