2127 WETMORE AVE 2021-09-01 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT#t/2 -0564 BUILDING PLANNING Intake OK by: Date: Intake OK by: (A Assign To:$3{0/ Date: 6/2-(0/Z0 Intake Comments: Intake Comments: f I1-191 ❑ Route to Commercial Building ❑ Attach to Project No. Na14.-60& ❑ Route to Residential Building ❑ oute to Historic Reviewer ElMake this a"W" Permit OK to Route to Other Departments Bldg/TI/Ad em Siz,e) , 5 S7 ElHold in Planning File Drawer '/ Garage/Accessory Struct. Size /v%� Zone r-2 Number of Stories 2— Overlay/Agreement " Basement ErNo ❑Yes , Fin/Unfin Nonresidential Use -- Type of Construction I/ Residential Use S F Occupancy Group R- 3 Proposed No. of Dwelling Units: Occupancy Load 'g Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑ ns Not Req'd Planning/Lacape Inspection Reg,ti e ❑fore Final? Yes UkNo Reason Sprinklers Required: ��1• "In Lieu" Fee:Type: �- Amount$ Fire Alarm: El Update Existing ❑New System El Not Req'd School Impact Fee: T. ', Reason Fire Alarm Required: ��pp Calculated: Credl . RCW 64.55 MF worksheet req'd for permit? ❑Yes Cl No ❑Everett Sc••ol Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes '13No Additional otes: VALUATION CALCULATION: Total $ iOS//dG`••c'° S(>S x tC4' -= 3"/t,ra ApprovedBy: / '� %p/ k s° • 6c v�' Z = , Date: ?1I2.4 7� l0Si a 1 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ,, ❑Site Work or Drainage Proposed Approved B Date: C`Z�,f/r'i:d ❑Backflow Prevention for high hazard: '(dental,medical,animals,mortuary,hospital, 'supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers DFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans- NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope- NO FIRE FEE ❑ Is in a Separate Green Folder Coin with this folder for permit issuance) ❑ Review/ Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: Public Works has no scope---PW Not Required Additional Notes: `ts (L‘O ti ELECTRICAL Additional Notes: Approved By: Date: Approved By: /SIM Date: W 4 1 20