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4604 RIVERFRONT BLVD 2020-07-02
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4604 RIVERFRONT BLVD 2020-07-02
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7/2/2020 4:10:20 PM
Creation date
7/2/2020 4:10:02 PM
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Address Document
Street Name
RIVERFRONT BLVD
Street Number
4604
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/ tB1 g)6 181oa 001 C I°Co2 06"1 <br /> Intake &Approval Sheet (FOR PERMIT STAFF ONLY) # <br /> . PERMIT <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Date: <br /> ake Comments: Intake Comments: Assign To: <br /> ❑ Route to Commercial Building 0 Attach to Project No. <br /> ❑ Route to Residential Building ❑ oute to Historic Reviewer <br /> ❑ Make this a"W"Permit I OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size t1,5° 4 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Lill cil Zone C) <br /> Number of Stories Overlay/Agreement qail,f <br /> Basement c4No ❑Yes, Fin/Unfin Nonresidential Use <br /> Type of Construction b Residential Use . <br /> Occupancy Group 1(41 W Proposed No. of Dwelling Units: ----. 1 <br /> Occupancy Load Total No. of Dwelling Units: I <br /> Fire Sprinklers: ❑Update'Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 2No <br /> Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ <br /> Fire Alarm: ❑Update Existing El New System ❑Not Req'd School Impact Fee: Total $ j d/ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑rYes ❑No Additional Notes: <br /> VALUATION CALCULATION: Total$ ���oo?O1 O <br /> 2DI5 1ax, 4 \k 0 �j 13 I1 <br /> Approved By: Date: I <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: PW Worksheet Needed if: <br /> ❑Sys Dev Eval ❑Traffic Mit Eval <br /> ❑Site Work or Drainage Proposed <br /> Approved By: J 9 Date: 124D Vt 2O el ❑Backflow Prevention for high hazard: <br /> (dental,medical,animals,mortuary,hospital, <br /> supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) <br /> ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> ❑Sending Fire Notes to Project Team r^ This Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) la See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: ❑Update Existing ❑New System ❑ Not Req'd NA Separate PW Permit is Required (Permit#: PW IelO$-a5= ) <br /> Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND Lis located in this folder <br /> Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) <br /> Additional Notes: 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> 4 <br /> proved By: Date: 0 Public Works has no scope---PW Not Required <br /> II II Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: „A Date: 3/SZS4a°! q <br />
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