1713 BAILEY AVE 2021-09-22 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) PERMIT# " I I I'V v BUILDING PLANNING Intake OK by: '; tfl Date: Intake OK by: Assign To: Date:Date: 1012-ff/(0( Intake Commen ifoif Ilk Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit O.QK to Route to Other Departments BI g I/Addn/Rem �EP4t4_ Add ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size ,,t//A Zone OM L) Number of Stories 2- Overlay/Agreement Basement ®No ❑Yes , Fin/Unfin Nonresidential Use (Iin-j-e1 Type of Construction ViQ Residential Use Occupancy Group RL-/ Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System Ei'Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes gdNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System jallot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes l No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes EINo Additional Notes: VALUATION CALCULATION: Total$ ZS 000.Da i Approved By: obr---) Date: l( 2_1 PUBLIC WORKS Intake OK by: 6 t 1 Date: 11 14 l 2 0(9 Additional Notes: Intake Comments: IPW Worksheet Needed if: 'Pas'S I"-• i DSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed �,,�2 Date: /�/Q y/�/9 I Backflow Prevention for high hazard: Approved By __�_��\��JJJJJJ i(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) �❑ e Sprinklers ❑Fire Alarm ❑Other: AND El Create Green Folder ❑Submitted Previously ❑Deferred Additional s ❑ 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 E FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIR E ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE F ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: blic Works has no scope PW Not Re q ' ed Additional Notes // 1 1- !Zp t 4 ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: