1725 MAPLE ST 2021-04-01 - Laserfiche WebLink

Intake &Approval Sheet 6 (FOR PERMIT STAFF ONLY) • PERMIT#-62002b ID BUILDING Intake OK by, ,I t• Date:007/742 0 PLANNING Intake.OK by: Assign To' Date:2/7/W Intake Comments. / Intake Comments: iSqroi ❑ Route to Commercial Building 0 Attach to Project No. K Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size q6 SF Hold in Planning File Drawer Garage/Accessory Struct. Size A" Zone Number of Stories l Overlay/Agreement --- Basement VfNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 1T4 Residential Use S Occupancy Group R Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System 1Not Req'd Planning/Landscape Inspection Required re Final? ❑Yes ptto Reason Sprinklers Required: "In Lieu' e: Amount$ Fire Alarm: ❑Update Existing El New System rilNot Req'd School Impact Fee: o Reason Fire.Alarm Required: Calculated: dit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 4 No El Everett of Dist ❑Mukilteo Soho ' t Add!RCW 64.55 docs required prior to final? ❑Yes QNo Additi nal Notes: VALUATION CALCULATION: Total$ 6 a��Zv • Approved By: A Date:3/g) Pe PUBLIC WORKS Intake OK by:, . Date: 4717,0ZQ} �0 f$ /� w,r Intake Comments: PW Worksheet Needed if::N 5 Additional Notes: c . j ❑Sys Dev Eval ❑Traffic Mit Eval i❑Site Work or Drainage Proposed Approved By: dit Date: 2463/2 0 tfb daPIC t '0Backflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, _supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Requ'---d: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm ' 'Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works `' ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Bui Plans-NO FIRE FEE AND 0 Is located in this folder ❑ Minimal or No ''ire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/In-section Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved c, : Date: Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: e..._)--E/4_ Date: ? 202-0