6200 12TH DR SE 2020-08-28 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#VAak, C°1-{ BUILDING PLANNING Intake OK by ,it Date: ///Z,/// Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone \ Number of Stories Overlay/Agreement Basement ONo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: _ Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspecti• Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: otal $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett Schoo Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 0 N Additional Notes: VALUATION CALCULATION: Total$ �(,��_p0A P�\QC Approved By: c2 �— Date: \\ , ®'7..., tC__)1T PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: W Worksheet Nee. •d if: ❑Sys Dev Eval I.Traffic Mit Eval DSite Work Drainage Proposed Approved By: Date: I 1((Qi I$ El - Prevention for high hazard: (dental, • edical,animals,mortuary,hospital, supp. ive housing) FIRE DEPARTMENT ❑Route this folder fo eview a -nd ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separat: concurrent PW Review(Green Folder) ❑Route to Fire Drawer---FirePreliminary Review Notice AND ❑Create Green Folder VA Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved %y Public Works Date: (OK to Route to Other Departments) 0 See PW Review Wor heet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Pe, it is Required (Permit#: PW Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND 0 Is locate. n this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a `-parate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will .- issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public W,, ks has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 62:72-1- )