332 MADISON ST B 2020-05-22 - Laserfiche WebLink

J Intake & Approval Sheet a (FOR PERMIT STAFF ONLY) PERMIT# C �� V0' BUILDING 'LANNING Intake OK by: Date: Intake OK • • Date: LS ce Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. O Route to Residential Building 0 Route to Historic Reviewer O Make this a"W" Permit to Route to Other Departments Bldg/TI A d. f'em Size 9(4 S 0 Hold in Planning File Drawer Garai:Accessory Struct. Size '3(...9& Zone Z-2, Number of Stories ( Overlay/Agreement Basement ®No Dyes , Fin/Unfin Nonresidential Use Type of Construction s Residential Use 'OILY 1,-($. Occupancy Group g./-A Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: 2. Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? DYes I No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ 4 '64 25— Reason Fire Alarm Required: C��aIlculated% /25 Credit: RCW 64.55 MF worksheet req'd for permit? Dyes � Cl No Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes EiNo Additional Notes: DItetek (2.56 ( &F2 JJcy��x> VALUATION CALCULATION: Total $ 567 0 I" Approved `h Z Date: 4/30 j0/ii PUBLIC WORKS Intake OK by: - -\ Date: .3 ti ?.C;. 12.c i 9 Additional Notes: 10/S-/g G Intake Comments: PW Worksheet Needed if: j-r a '-L'o�•1 ER.-r 6A-44-ac.= 1 ❑Sys Dev Eval ❑Traffic Mit Eval li7J?t--Q-S . Wite Work or Drainage Proposed Approved By: Date: S.pF SG_w��c wra P _*z_-- ❑Backflow Prevention for high hazard: ' �� ►-�:,t,Ott. (dental,medical,animals,mortuary,hospital, 35 G "�►` Nb(.. Su(Li*s pportive housing) FIRE DEPARTMENT pRoute this folder for PW Review at end ---PW Review Worksheet Separate I 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 ODeferred Additional Notes: fgzhis Permit is Approved by Public Works See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required (Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder Et 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: Y, c-e,ENn Date: y-y-f 9 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved B : Date: 5/47/24 /6/7`Th 2_./7/1