840 N BROADWAY A 2020-08-27 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# l✓Q g I 0 'O U /� BUILDING PLANNING Intake OK bt J"\, Date:/G9/('J;4D/4 Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Blc�'g/TI/ ddn/Rem Size (/ .702 ..�'T ❑ Hold in Planning File Drawer pp'� Garage/AccessoryraraStruct. Size A.///dZone /kk,k Number of Stories -r Overlay/Agreement S-- Basement No Oyes , Fin/Unfin Nonresidential Use Type of Construction L Residential Use Occupancy Group 8 Proposed No. of Dwelling Units: Occupancy Load 0A S Total No. of Dwelling Units: Fire Sprinklers: ®.Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Requi •: before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: Update Existing ❑New System ❑Not Req'd School Impact Fee: Total Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes r❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes 12No Additional Notes: ✓� 1 D ,1I VALUATION CALCULATION: Total $ /i.. 0, J� U C e:X;'�C/A3 0A 04- C.j3" a SQ e�e"��1 Approved By:� Date: LG G` .Z_O\S PUBLIC WORKS Intake OK by: 'V Date: t 4;cf ' ' ' Additional Notes: Intake Comments: PW Worksheet Needed if: I rJ'f€R.ais_ Ti 0.,4LY Sys Dev Eval IgiTraffic Mit Eval Site Work or Drainage Proposed '4° cl""a" °C VSE ❑Backflow Prevention for high hazard: Approved By =— Date: G'/ //jamf � �"%i,` ' G' C hg�(F. -"at sy/S Fitel (dental,medical,animals,mortuary,hospital, j //)/'ht, fritr°N7Lk mJr, supportive housing) FIRE DEPARTMENT aRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team ❑ This Permit is Approved by Public Works Date: (OK to Route to Other Departments) ❑ See PW Review Worksheet and associated attached items Fire Sprinklers: pUpdate Existing ❑New System ❑ Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: OUpdate Existing ❑New System �1❑ Not Req'd AND ❑ Is located in this folder 1 Chemical Sup: ❑Update Existing ❑New System O Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: / 1=1Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: ‹C >:.,; Date: Ii A" _ P Public Works has no scope--- PW Not Required Additional Notes: • ELECTRICAL '`'O sfs -De...) - -ru-w«c. +.►.-nc,4T,aa pe¢s itectb, Additional Notes: '-----jjf�� //ao/20 lq Approved By: Date: Approved By: Date: