Laserfiche WebLink
lb b1)1 <br /> 40 <br /> Intake &Approv-I SheetY (�®�PERMIT STAFF ON Y) PERMIT# [t:;t - OVA <br /> BUILDING PLANNING • <br /> y Intake OK by: Date: Intake OK by: Date: <br /> ake Comments:iir <br /> Intake Comments: Assign To: <br /> ®Route to Commercial Building L�Attach to Project No. <br /> ❑ Route to Historic Reviewer <br /> cJ u 4 �� <br /> ❑ Route to Residential Building <br /> ❑ Make this a"W"Permit 0 OK to Route to Other Departments <br /> Bldg/Tl/Addn/Rem Size :,1j 0(0)._ ON 0 Hold in Planning File Drawer PP <br /> Garage/AccessoryStruct.Size Zone ,- V v C. <br /> Number of Stories 2. Overlay/Agreement PD 0 <br /> Basement No ❑Yes, Fin/Unfin Nonresidential Use <br /> Type of Construction leb Residential UseL <br /> Occupancy Group YLI [Proposed No.of Dwelling Units: <br /> Occupancy Load Total No. of Dwelling Units: <br /> Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes I�INo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$' <br /> I <br /> Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ ^ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: <br /> (VALUATION CALCULATION: Total$ 'b 6 ►1 O.00 <br /> 6j , j <br /> 9,Dt g tom/ V <br /> Approved By: Date: rtd2 ici <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: PW Worksheet Needed if: <br /> ❑Sys Dev Eval DTraffic Mit Eval <br /> ❑Site Work or Drainage Proposed <br /> Approved By: ' Date: —,11 r�j 7f ❑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 IgtThis Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) fig See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: ❑Update Existing ❑New System ❑ Not Req'd EIA Separate PW Permit is Required(Permit#:PW 1901-`01% ) <br /> Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND @SI Is located in this folder <br /> Chemical Sup: ❑Update Existing ❑New System ❑ 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 /> ' oproved By: Date: 0 Public Works has no scope---PW Not Required <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: j <br /> Approved By: Date: Er ApprovedBy: ,... ', <br /> . Date: 71�/ ' L <br />