1802 75TH ST SW 2021-12-30 - Laserfiche WebLink

Intake & Approval Sheet 40 (FOR PERMIT STAFF ONLr a PERMIT # "M 1 �_ d 21 BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size f -FfiL Garage/Accessory Struct. Size Number of Stories Basement MNo ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load .2 Fire Sprinklers: ®Update Existing ❑New System ❑Not Req'd Reason Sprinkl rs Required: Fire Alarm: Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 171 Lw No Add'l RCW 64.55 does required prior to final? ❑Yes W No VALUATION CALCULATION: Total $ -"OnO Additional Notes: Approved By: Date: rj ,247A FIRE DEPARTMENT Separate / Deferred Submittals Required: Ekire Sprinklers DiFire Alarm ❑Other: Additional Notes: , Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE EE�RevieW / Inspection Scope - ADD FIRE FEE Approved By: pLoDate: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. V❑ ute to Historic Reviewer OK to Route to Other Departments Hold in Planning File Drawer Zone -� Overlay/Agreement Nonresidential Use p p Residential Use Proposed No. of Dwelling Units: "— Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes o "In Au" Fee: Typ Amount $ Scho Impact ee: To I $ Calcul ed: Credit: ❑Ever- chool Dist Mukilteo Schbol Dist Additional Note /s: - t fC Approved By: Date: 0UBLIC'WOR1K8 Intake OK by: Date: M......,.....,...„.....,„.....,.............-............N...........,..,...,.,.......,_,..,......, Intake Comments: IPW Worksheet Needed if.• ❑Sys Dev Eval ❑Traffic Mit Eva[ ❑Site Work or Drainage Proposed TlBackflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, ;supportive housing) z......,,...,......,.................... ...... ...... ,...............-................... -....................... ..„,.....,... ❑ 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 folderfor permit issuance) ❑ WIII be issued separately (separate Green Folder, PW issued ahead of Bldg) Ea2ublic Works has no scope --- �PWNot Required Additional Notes_��" [Approved By: Date: