9434 HOLLY DR 2021-08-26 - Laserfiche WebLink

tp 41° Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) PERMIT# 2 t \ —o 40 BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: Route to Commercial Building 0 Attach to Project No. D Route to Residential Building ❑ Route to Historic Reviewer D Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size D Hold in Planning File Drawer Garage/Accessory Struct. Size 02TO c Zone c--k Number of Stories Overlay/Agreement Basement ❑No DYes , Fin/Unfin Nonresidential Use Type of Construction Residential Use t kf► '5' 12 Occupancy Group Proposed No. of Dwelling Units: — Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: DUpdate Existing ❑New System °Not Req'd Planning/Landscape Inspection Required before Final? DYes,No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: DUpdate Existing ❑New System ONot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes DNo Additional Notes: VALUATION CALCULATION: Total $ C `6'YZ. S5-6LO) Approved By: Date: \ V PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: I PW Worksheet Needed if: 1) ----e_ t__ I OSys Dev Eval °Traffic Mit Eval ©Site Work or Drainage Proposed Approved By: £-L " Date• I[IBackflow Prevention for high hazard: /�� / f I(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end --- PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) °This project also has a separate concurrent PW Review (Green Folder) ❑Route to Fire Drawer--- Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously °Deferred °Sending Fire Notes to Project Team This Permit is Approved by Public Works Date: (OK to Route to Other Departments) ❑See PW Review Worksheet and associated attached items Fire Sprinklers: DUpdate Existing ❑New System D Not Req'd D A Separate PW Permit is Required(Permit#: PW ) Fire Alarm: DUpdate Existing ❑New System D Not Req'd AND 0 Is located in this folder Chemical Sup: DUpdate Existing ❑New System ❑ Not Req'd 0 Is in a Separate Green Folder (join with this folder for permit issuance) Additional Notes: ° Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: /-Approved By: Date: Approved Byr y. <- ,, ,-'t`- Date: r r ! L.5-1-z,„-, 7//v