1816 WETMORE AVE 2020-06-15 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# C ,ib " 0014 BUILDING PLANNING Intake OK by: Date: Intake OK by: £A.tI 1OI SOX k Date: tb I l b 19,0 It Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer O Make this a"W" Permit 0 OK to Route to Other Departments Bldg/TI/'••r -em Size /27/ SIC 0 Hold in Planning File Drawer Garage/Accessory Struct. Size a& •5:A4. Zone C.'1-- Number of Stories 2.. Overlay/Agreement Basement IZINo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction 3r7? Residential Use \--- Occupancy Group /CA Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Oh.Q Fire Sprinklers: ❑Update Existing ❑New System allot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System 125 Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: -.it: RCW 64.55 MF worksheet req'd for permit? ❑Yes El No ❑Everett School Dist ■ ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes IENo Additional Notes: 3/2 L..ii/ r VALUATION CALCULATION: Total$ /SD W6P , Approved - •40p. Date: k2_v _Zc\c - PUBLIC WORKS Intake OK by: Date: $' ee /I tea Additional Notes: 20/55 /'2�, 0i pritc- Intak Comments: PW Works eet ded if:: - SrK. ❑Sys Dev Eval ❑Traffic Mit Eval 50 S'F_ aidAde rSite Work or Drainage Proposed Approved By: Date: /e)////Afb a�JJ - yr ❑Backflow Prevention for high hazard: r ��//n,,' (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ViRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) DThis project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team P2 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) U. See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd Ia A SeparaterPW Permit is Required (Permit#: PW tBIO. 0 3$ ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND gl-Is located in this folder Chemical Sup: ❑Update Existing ❑New System 0 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: Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: �� Approved By: Date: Approved Bp-� ` '`'d6'— Date: toi`5ifb tI�1