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4616 31ST AVE SE 2020-07-13
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4616 31ST AVE SE 2020-07-13
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Last modified
7/13/2020 10:51:02 AM
Creation date
7/13/2020 10:50:40 AM
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Address Document
Street Name
31ST AVE SE
Street Number
4616
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' W 16 l810- ©oI ���_ �,� <br /> Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# C <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 0 -oute to Historic Reviewer <br /> ❑ Make this a"W"Permit Yi OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size 2A 51 4 0 Hold in Planning File Drawer <br /> Garage/Accessory Strutt,Size Lill it ZoneC. <br /> Number of Stories Z- Overlay/Agreement WtSk(lr-pctt r <br /> Basement �No ❑Yes , Fin/Unfin Nonresidential Use <br /> Type of Construction 5b Residential Use W12. <br /> Occupancy Group y,`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 6dNo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ ( (@e. dLiek <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? 1❑Ytes El No Additional Notes: <br /> 1 <br /> VALUATION CALCULATION: Total$ t 0—D2," <br /> 2D15lac, iVURSCJ <br /> Approved' Date: 11/4 3 P7 <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: etti" Date: 4ilb49 ❑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 /> El Route to Fire Drawer---Fire Preliminary Review Notice AND El Create Green Folder ❑Submitted Previously ❑Deferred <br /> ❑Sending Fire Notes to Project Team Nit This Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) g 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 Ft 011-0.56 ) <br /> Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND rgls 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: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> $Droved By: Date: 0 Public Works has no scope---PW Not Required <br /> ¶� Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: / I <br /> Approved By: Date: Approved By: Date: 1/Q5 '0 <br /> _- <br /> (2.12) <br />
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