4632 FOWLER AVE 2022-02-08 - Laserfiche WebLink

Intake & Approval Sheet *(FOR PERMIT STAFF ONLr 10 PERMIT #2� BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldgrrl/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement ❑No ❑Y ,Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: El Update Exi g ❑New System ❑Not Req'd Reason Sprinklers Requ' d: Fire Alarm: ❑U ate Existing ❑New System ❑Not Req'd Reason Fire Ala Required: RCW 64.55 M'p4orksheet req'd for permit? ❑Yes ❑ No Add'I RC 4.55 docs required prior to final? ❑Yes []No VALUATION CALCULATION: Total $ AQ, 000 11,60 s 07,-9/ lax v4,4 4a112JT S J 70J— o Additional Notes: r Approved By: G Date: p� FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL Additional Notes: Approved By: Dater PLANNING - Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Uni Total No. of Dwelling Uni PlanninglLandscap nspection Required before Final? ❑Yes ❑No "In Lieu" Fee: Typ . Amount $ School Impact ee: Total $ Calculated: Credit: ❑Ever School Dist ❑Mukilteo School Dist 7iti nal Notes: Approved Date: PUBLIC WORKS Intake OK by: Date: ..... ................... ..........w_,,.... ....... .....,_..._................. ,......,...._...._,,._,,,..,,.......... ...,,...., Intake Comments: ;PWWorksheetNeeded if.• OSys Dev Eva[ ❑Traffic Mit Eval 10Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, supportive housing) .........._......_.......,,.........._......._...........,....._.............._............._ .................. ❑ Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works " ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (join with this folder for permit Issuance) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: