507 74TH ST SW 2020-06-15 - Laserfiche WebLink

t gliti l pia 1o6 Intake &Approval Sheet i__ (FOR PERMIT STAFF ONLY) _ PERMIT# -14*-19-`63V BUILDING PLANNING Intake OK by: Date: Intake OK by: ?-A\1 Date: 10--1 Intake Comments: Intake Comments: Assign To: • j_� 6:4145 u,,N\ iL(J RC) ivbe eg c(69,4 )\;,' 'el ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 17.1OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/ ayGarage/tay Struct. Size 5G ,57f: Zone12.....,2— Number .,2_ Number of Stories Overlay/Agreement Basement iti3No DYes , Fin/Unfin Nonresidential Use 2,��, '� 5- (2-- Occupancy , /) Type of Construction ,$ Residential Use C i-i. ".t.j S 1�4`-- Occupancy Group (-4 Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: I Fire Sprinklers: ❑Update Existing El New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yeslo Reason Sprinklers Required: "In Lieu"Fee:Type: 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? ❑Yes 21 No ❑Everett School Dist ❑Mukilteo ool Dist Add'I RCW 64.55 docs required prior to final? ❑Yes EINo Additional Notes: _`< 'o i l 6 VALUATION CALCULATION: Total$ 167, JSP �' Approved By: L.1-1<A751 1-1<A 7 5I Date: 1?/ .1� PUBLIC WORKS iffr/ eve o-f Df- L cli Intake OK by:-Ina Date: Cor$126/46 Additional Notes: 2J/5"'/_,L Intake Comments: PW Worksheet Needed if: 14E.v-1 12-o•E ovGa- EiGs-. ❑Sys Dev Eval ❑Traffic Mit Eval ?A.-tso . I.3Ew —3Soso ❑Site Work or Drainage Proposed ,14Dtv' o1E'4c • 4.1"° Int-fAc"°1:1Backflow Prevention for high hazard: Approved By: Date: I`/ /iQ 431°.105 -re .$ (g �Pka++r*. r (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) 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 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0� See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑ al New System 0 Not Req'd b Separate PW Permit is Required (Permit#: PW/$/l• 057 ) Fire Alarm: El Update Existing ❑New System 0 Not Req'd AND located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd ❑ 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 B -e%,..,e0a e: ii/Q `Z`' (2i