1515 132ND ST SE 2022-01-20 - Laserfiche WebLink

Intake & Approval Sheet I* (FOR PERMIT STAFF ®NLY9 0 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 Garage/Accessory Struct. Size Number of Stories Basement ❑No ❑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: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No VALUATION CALCULATION: Total $3 00 Additional Notes: Approved 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: 16 U Intake Comments: } Attach to Project No. YM/ M_' •—/,30 ❑ 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 Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? []Yes XNo "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ k Calculated: Credit: El Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By: Date: i� G PUBLIC WORKS Intake OK by: Date: Q C Intake Comments., I PIN Worksheet Neef. Needed i ,_• Dev Eval �rraff it Eval gf �fj�-�.1 =Site Work or Drain Proposed ElBackflow Prev tion for high hazard: ;(dental, medic ,animals, mortuary, hospital, :supportive using) a.........,._.�...................................................................................,................................................. Route this folder for PW Review at --- PW Review Worksheet This project also has a separat oncurrent PW Review (Green Folder) AND ❑Create Green Folder Submitted Previously ❑Deferred ❑ This Permit is Approv by Public Works ❑ See PW Review orksheet and associated attached items ❑ A Separate P Permit is Required (Permit #: PW ) AND ❑ Is I ated in this folder ❑ in a Separate Green Folder Goin with this folderforpermit issuance) Will be Issued Separately (Separate Green Folder, PW issued ahead of Bldg) ❑ P blic Works has no scope --- PW Not Required Ad tional Notes: Approved By: Date: