2204 12TH ST 2020-08-28 - Laserfiche WebLink

Intake&Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING PLANNING Intake OK by: Date: 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 ❑No ❑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: [Iodate Existing ONew System ❑Not Req'd Planning/Landscape Inspection Required before Final? Ekes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing ONew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? r❑Yes 0 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total $ _ Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed i i9Sys Dev Eval OTraffic Mit Eval =0Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved Bye - Date:/274:7/7,0„q �9 (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route 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 Preilminaly Review Notice AND OCreate Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑update Existing ONew System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW Fire Alarm: .gUpdate Existing Chew System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing 'lew System 0 Not Req'd 0 Is in a Separate Green Folder (join with this folderfor permit issuance) Additional Notes: ifidaj ,�� i FA ❑ Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: ti, / Date: I 2/,T/ 16 Of Public Works has no scope--- PW Not Required r I Additional Notes: ELECTRICAL C' z AL- Additional `Additional Notes: Approved By: Date: Approved By:�4.q.,. �` �,,Z Date: /ill eic"