2322 CEDAR ST 2021-11-01 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) 0 PERMIT# ._1 )` BUILDING PLANNING Intake OK by:_S*- Date: l /S//e', Intake OK by: Date: CI. - s-\' Intake Comments: Intake Comments: Assign To: 1(: (-0,0 9 ❑ Route to Commercial Building ❑Attach to Project No. JV Route to Residential Building 0 Route to Historic Reviewer Make this a"W" Permit OK to Route to Other Departments Bldgf1-1/Addneen Size q2.5 5f ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone, ' ,-2- Number of Stories I Overlay/Agreement Basement KNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use S'f cZ Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: QAe. Fire Sprinklers: ❑Update Existing ONew System El Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ®No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑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 1;21 No ❑Everett School Dist ❑Mukilteo School Dist. Add'I RCW 64.55 docs required prior to final? ❑Yes gNo Additional Notes: t ICt lc'-©-3 VALUATION CALCULATION: Total $ �b$ �50 �I Q2 e-47l Approved By:( — Date: VCR,3C3, 155\CC PUBLIC WORKS Intake OK by:-T-R-ram Date: 9/6) i S Additional Notes: 20/s «C ii& A)sec Intake Comments: PW Worksheet Needed if: _ 00 4 tD U 00 ,, s�.a c_ ❑Sys Dev Eval ❑Traffic Mit Eval � a LA- i N-,F 12_+o (7- v.o, t'- ❑Site Work or Drainage Proposed Approved By: . odi Date:. / , /`ej ?go fesc•- , ❑Backflow Prevention for high hazard: ` (dental,medical,animals,mortuary,hospital, ' supportive housing) FIRE DEPARTMENT FiRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team ❑ This Permit is Approved by Public Works Date: _ (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑update Existing ❑New System ❑ Not Req'd ❑A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND ❑ Is located in this folder Chemical Sup: 0 Update Existing 0 New System ❑ Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: lkublic Works has no scope---PW Not Required Additional Notes: ELECTRICAL //I29 .240E Additional Notes: Approved By: Date: Approved By: Date: