2727 BROADWAY 2020-05-07 - Laserfiche WebLink

s-- Intake &Approval Sheet 111 1111 (FOR PERMIT STAFF ONLY) 101 111111 PERMIT# f✓ qs1:3(2,—c) I 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 BldgfTl/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone U k Number of Stories Overlay/Agreement Basement ❑No ❑Yes Fin/Unfin Nonresidential Use (V NVQ- C'es US-0,\ Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: /- Fire Sprinklers: ❑Update Existing ❑New System ONot Req'd Planning/Landscape Inspectio equired before Final? ❑Yes EINo Reason Sprinklers Required: "In Lieu"Fee:Type: i' 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? EI 0 No El Everett Schoo ist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Not s: VALUATION CALCULATION: Total$ 4/0 OOPJ.'( V Approved By:�(—''1,i,e4.. y.A, Date: 2. 2-: ZO\P PUBLIC WORKS Intake OK by: � � U7 Date: R/a (�i/ i Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By'.C' ..�...g Date: OZ/z?/z.o/g �1.(Ac� !yU Backflow Prevention for high hazard: k—` G (dental,medical,animals,mortuary,hospital, supportive housing) {�l� l ` FIRE DEPARTMENT ❑Route t is folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: his Permit is Approved by Public Works 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 O 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 0 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: / �t t�1¢ke,�"- _ M,''Z,J ��y�4C ELECTRICAL �� , Additional Notes: � ��„ 2 29- Ze99 Approved By: Date: Approved Bya* Date: Air'