808 91ST PL SE 2022-01-11 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT # a 0 t 6 4 - ®1 BUILDING Intake OK by: Date: 2 C. Intake Comments: ❑ Route to Commercial Building Route to Residential Building ❑ Make this a "W" Permit Bldg/TI n em Size 2p Garage/Accessory Struct. Size Number of Stories Basement [KNo ❑Yes , Fin / Unfin Type of Construction Occupancy Group I Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing [I New System El Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? Dyes Eallo Add'I RCW 64.55 docs required prior to final? ❑Yes No VALUATION CALCULATION: Total $ �, 8 420 e !ZI = 501$20 Additional Notes: ��$- /,2C G✓S G Approved By: Date: S 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: Date: L�. 2�• Z\d�� n To: Intake Comments: Assign �f.Q.c�� crk..� 3 �ceQ S ,i-e.��t�•e d ❑ Attach to Project No. ❑ Route to Historic Reviewer 09 OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone - t Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes ®No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: []Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By: Date: tl� �C1 %PUBLIC WORKS Intake OK by: Date: Intake Comments: ;PW Worksheet Needed if.• r ❑Sys Dev Eval ❑Traffic Mit Eva] ❑Site Work or Drainage Proposed OO ❑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 (loin with this folder for permit issuance) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: