Laserfiche WebLink
D5W 1D .-1-1 i •i 12._)31 O t o- oo 6 <br /> Intake Z Approval Sheet (Fig r Ei•, ,,IT STAFF I, LY) . PERMIT#a�� o rO <br /> ',UILDING i k 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 r•ute to Historic Reviewer <br /> ® Make this a"W"Permit gi OK to Route to Other Departments <br /> Bld /TUAddn/Rem Size <br /> g VI 51 ill 0 Hold in Planning File Drawer <br /> � <br /> Garage/Accessory Struct,Size j`711 4 `Zone , __ V v C- <br /> Number of Stories Z- Overlay/Agreement Rain <br /> Basement IYINo ®Yes , Fin/Unfin Nonresidential Use <br /> Type of Construction .0b Residential Use ' S F <br /> Occupancy Group yZ w Proposed No. of Dwelling Units: I. . <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 I1No <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ®Update Existing ®New System ®Not Req'd School Impact Fee: Total $ A./Urea/Ct./ � <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'!RCW 64.55 docs required prior to final? `®�YYes ❑No Additional Notes: <br /> 'VALUATION CALCULATION: Total$ ILA G1 2.02,®0 <br /> 2A(51126iVg Cij q <br /> 'Approved'B Date: 2. lel <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: V `I- Date: 412_4,A1/1 g ❑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 gThis Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) in See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: ®Update Existing ®New System 0 Not Req'd l:g-A Separate PW Permit is Required(Permit#: PWI9oy- 060 ) <br /> Fire Alarm: ®Update Existing ®New System 0 Not Req'd AND 1..2 Is 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 /> ,oroved By: Date: 0 Public Works has no scope---PW Not Required <br /> I1II Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: i 64- Date: 240(0 <br /> Z <br />