2521 MONROE AVE 2021-09-24 - Laserfiche WebLink

• • Zoo _ a3S Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# tJ BUILDING �f,� PLANNING p ,/,, Intake OK by: Date: Intake OK by:""-*' Assign To:ftyle• Date: s• 18- '1 Intake Comments: Intake Comments: C eo W.-JAM.arc.-a. -11-sSestrme l l+(el u r(col' ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ oute to Historic Reviewer ❑ Make this a"W"Permit K to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone —Z Number of Stories Overlay/Agreement Basement El No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use S?fz Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No El Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ ///,4d Approved By:, Date: l8/2452.4 PUBLIC WORKS Intake OK by: . Date: Intake Comments: �--......._..._..w__.-._..._...........�.,.._..,..._,..........._.__._._.. Additional Notes: PW Worksheet Needed if: IDSys Dev Eval ❑Traffic Mit Eval OSite Work or Drainage Proposed Approved By: . Date cJ !IW I" IOBackflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, !supportive housing) FIRE DEPARTMENT El 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 El 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: ❑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(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: Date: 212._