829 56TH PL SW 2021-12-20 - Laserfiche WebLink

Intake & Approval Sheet M (FOR PERMIT STAFF ONLY) 0 PERMIT # y�Vii & 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 k6to $f* Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction My Occupancy Group Occupancy Load r�r Fire Sprinklers: ❑Update Existing ❑New System lot 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 129No VALUATION CALCULATION: Total $ 1200 l,qv sl- a 3o�st Additional Notes: Z 0�2 C Approved By:!�tL Date: 2,Z I Zp 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 Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes IgNo "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: El Everett School Di ❑Mukilteo School Dist Additional Notes: Approved B . Date: PUBLIC WORKS Intake OK by= t4 Date: Z Ft a 20 Intake Comments: PW Worksheet Needed if., Szo¢,M a.10 Szot .F,�p-t �z :S1 S. -D Eu [ Sys Dev Eval ❑Traffic Mit Eval :)]Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: ;(dental, medical, animals, mortuary, hospital, _supportive housing) e...................................... .._... ... ............. ........................................ ..,,........... . .......................... ..... ❑ 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 folder for permit issuance) ❑ WIII be Issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved Date: rL� Zd