Laserfiche WebLink
" W I o- oohtOlfY1 <br /> �� <br /> Intake %Approval Sheet (FOi"' PER IT STAFF •NLY) . PERMIT/ r 5 <br /> BUILDING • PLANNjNG <br /> Intake OK by: Date: Intake OK by: Date: <br /> ake Comments: Intake Comments: Assign To: <br /> ® Route to Commercial Building 10<ach to Project No. U J 1 4 002_ <br /> O Route to Residential Building . 0 Route to Historic Reviewer <br /> ® Make this a"W"Permit 0 OK to Route to Other Departments <br /> Bidg/TI/Addn/Rem Size 21 551 01 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct_Size ill P Zone G <br /> Number of Stories 'Overlay/Agreement P DC) <br /> Basement RNo ❑Yes, Fin/Unfin Nonresidential Use <br /> Type of Construction Residential Use ' S�Z <br /> Occupancy Group Y,`w Proposed No. of Dwelling Units: <br /> Occupancy Load Total No. of Dwelling Units: I <br /> 'Fire Sprinklers: ®Update Existing ®New System ONot Req'd Planning/Landscape Inspection Required before Final? ®Yes L`JNo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ®Update Existing ®New System ®Not Req'd School Impact Fee: Total $ ��j6t. <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ®Yes 0 No 10Everett <br /> School Dist ®Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? �2®YYes ®No Additional Notes: <br /> (VALUATION CALCULATION: Total$ ;fit 4vr12-0)-.0° <br /> (WI 5 0126 ' WC SC) <br /> Approved'By: Date: g'pe/J G 1 <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: PW Worksheet Needed if: <br /> ❑Sys Dev Eval DTraf iic Mit Eval <br /> ❑Site Work or Drainage Proposed <br /> Approved By: Date: <br /> ❑Backflow Prevention for high hazard: <br /> J��/��' <br /> / (dental,medical,animals,mortuary,hospital, <br /> supportive housing) <br /> FIRE DEPARTMENT DRoute 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 /> 0 Route to Fire Drawer---Fire Preliminary Review Notice ! AND ®Create Green Folder ®Submitted Previously ®Deferred <br /> ®Sending Fire Notes to Project Team ��� This Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) Tit See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: ®Update Existing ®New System 0 Not Req'd A Separate PW Permit is Required(Permit#: PW 1°IO'}— k ) <br /> Fire Alarm: ®Update Existing ®New System 0 Not Req'd AND iSitIs located in this folder <br /> Chemical Sup ®Update Existing ®New System 0Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) <br /> Additional Notes: 1 Li Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> H.nprov By: Date: i 0 Public Works has no scope---PW Not Required <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: + v, <br /> Approved By: Date: Approved By: _F, J- Date: �/�1 L <br /> )z) <br />