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4612 31ST AVE SE 2020-07-13
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4612 31ST AVE SE 2020-07-13
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Last modified
7/13/2020 10:31:25 AM
Creation date
7/13/2020 10:31:04 AM
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Address Document
Street Name
31ST AVE SE
Street Number
4612
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'5Wp (b6 Into- ©oI <br /> Intake &Approval Sheet (FOR PERMIT STAFF ONLY) . PERMIT# Cl/�01-\ <br /> l"I A boq <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 'M.d OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size 2.-1,51 4 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size L121 VII Zone W C— <br /> Number of Stories Overlay/Agreement `0- Plain <br /> Basement !No ❑Yes, Fin/Unfin Nonresidential Use <br /> Type of ConstructionResidential Use `��/� <br /> Occupancy Group �I w Proposed No. of Dwelling Units: 1 <br /> Occupancy Load Total No. of Dwelling Units: <br /> Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ElYes`NlYNo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ (Areal ?1,ftk <br /> Reason Fire Alarm Required: Calculated: Credit: ` <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Evereft School Dist ❑Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: <br /> VALUATION CALCULATION: Total$ ? G112-02 4" <br /> tot 5 , aL 4 w 0 0Approved Bl / Date:`-f/23 1 qI <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 /> ❑Backflow Prevention for high hazard: <br /> Approved By: Date:4:1-446//q (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 ''2 This Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) El See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 12fA Separate PW Permit is Required (Permit#: PW 11011-055 ) <br /> Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND RIs 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 /> proved By: Date: 0 Public Works has no scope---PW Not Required <br /> I I Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: JF..", -- <br /> Approved By: Date: Approved By: , Date: 41a5 -12,71) <br />
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