710 90TH PL SE 2022-01-06 - Laserfiche WebLink

Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY) 0 PERMIT # BUILDING Intake OK by: Date: Z � .6 _ Intake Comments: ❑ Route to Commercial Building ®-Route to Residential Building ❑ Make this a "W" Permit 4,00. J APe* Bldg/TI d Size Garage/Accessory Struct. Size Number of Stories '2- Basement 54No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System []Not Req'd Reason Fire Alarm Required: 1�1 RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No Add'I RCW 64.55 docs required prior to final? []Yes ®No VALUATION CALCULATION: Total $ Additional Notes: Approved By: CZ 5P Date: &gLK0J FIRE DEPARTMENT Separate / Deferred Submittals Required: El 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: Date: 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 -�j J V1VL"0 Proposed No. of Dwelling Units: Total No. of Dwelling Units: } Planning/Landscape Inspection Required before Final? ❑Yes Mo "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By: Date: Z �� PUBLIC WORKS Intake OK by. Date: w...,,..w..-,,...,.,.. ..... ... ...........a,,....a..,......,,.........................,....,..........................._ Intake Comments: 1 PW Worksheet Needed if.• 11Sys Dev�Eval QTraffic Mit Eval `pe--- 0Site 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 Qoin with this folder for permit issuance) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) VC"Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: