217 ALVERSON BLVD 2022-04-12 - Laserfiche WebLink

Intake & Approval Sheet , N (FOR PERMIT STAFF ON09 PERMIT # b BUILDING Intake OK by:<�b_ Date: 1_ Iq Intake Comments: ❑ Route to Commercial Building Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size a Z I= Garage/Accessory Struct. Size 3 C S 09 Number of Stories Z Basement MNo ❑Yes , Fin / Unfin Type of Construction Occupancy Group AA Occupancy Load Fire Sprinklers: El Update- Existing El New System El Not Req'd Reason Sprinklers Required: Fire Alarm: El Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ER No Add'I RCW 64.55 docs required prior to final? ❑Yes LJNo VALUATION CALCULATION: Total $ m - I ,yJ of L� 3qz Q g8 z u a -To Additional Notes: ?—O/S /QG 0 WS9c. Approved By: Date: FIRE DEPARTMENT Separate / Deferred Submittals Required: El Fire Sprinklers El 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: K ro(W tl Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Date: o I Intake Comments: Assign To: j201�G a^ -a i eAjm- _<OC43 Irey-A4 Attach to Project No. Ksj U: IS - Cal U ❑ Route to Historic Reviewer OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone R- Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: -L 9 v Total No. of Dwelling Units: Planning/Landscape Inspection quired efore Final? ❑Yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist Mukilteo Scho st / Additional Notes: Approved By: Date: PUBLIC WORKS Intake OK by: // Date- ;UMFtt am ---------- --- ------------------------ Intake Commmeentts: iH fy g ' f;PW Worksheet Needed if: z cti GV �l.< ��2Ei,i d 1I1 ;.Sys Dev Eva] ❑Traffic Mit Eva] r`lc d/AW) §JSite Work or Drainage Proposed Togg C Q"" j�� Backflow Prevention for high hazard:Nc � /O(dental, medical, animals, mortuary, hospital, J 330 ib YD portive housing) h dr .. ROt s ��s r------------------------------ �Route this folder Tor Revlew at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred E�This Permit is Approved by Public Works � �ee PW Review Worksheet and associated attached items ICI--ArSeparate PW Permit is Required (Permit#: PW 1'i AND Eg�s located in this folder ❑ Is in a Separate Green Folder (join 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 Date: