2711 MAPLE ST 2021-09-28 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# C°2sD0S BUILDING PLANNING', Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. C\CSd -0_1. ,S ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addn m Size j /f Z. 0 Hold in Planning File Drawer Garage/Accessory Struct. Size ,//.ICJ Zone Number of Stories Overlay/Agreement Basement ja.No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction —/j Residential Use S F-q•-. Occupancy Group ,,2-3 Proposed No. of Dwelling Units: Occupancy Load 6 Total No. of Dwelling Units: C- \A-e, Fire Sprinklers: ❑Update Existing ❑New System E.Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing El New System &Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes r1 No ❑Everett School Dist ❑Mukilte chool Dist Add'l RCW 64.55 docs required prior to final? ❑Yes EiNo Additional Notes: VALUATION CALCULATION: Total $/L S a 00 / Approved By(:------- )ate:0 f-O 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 By: ,„,�1 — Date:�+9//y/� ❑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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 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 0 Is in a Separate Green Folder(join 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: ELECTRICAL Additional Notes: Approved By: Date: Approved By 1N) qL Date: —lC) — 207 0