4707 EVERGREEN WAY 2021-11-12 - Laserfiche WebLink

• • 2�t2—o Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size � � 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement bst? Basement 3No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction V/ —, Residential Use Occupancy Group /'1/1 Proposed No.of Dwelling Units: Occupancy Load /, Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System Not Req'd Planning/Landscape Inspection Required before Final? ❑YesJON° Reason Sprinklers Required: �p "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑ L�New System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: —El Calculated: Credit: ❑ . RCW 64.55 MF worksheet req'd for permit? Yes EI No ❑Everett School Dist ❑Mukilteo Sc of Dist Add'i RCW 64.55 docs required prior to final? ❑Yes ItNo Additional Notes: VALUATION CALCULATION: Total$ Approved By: '�.'�yje_ Date: I 1., PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: iPW Worksheet Needed if: 7 cot k; f d!C gPLt 41f 01 o r-u) ❑Sys Dev Eval ❑Traffic Mit Eval �' f I666 I❑Site Work or Drainage Proposed Approved By: L/ �", Date/jy /8% ❑Backflow Prevention for high hazard: "��•� G ` /// =(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I 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: 0 This Permit is Approved by Public Works 0 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) a Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: K. (A),(N Date: I —5-200,( 1;1 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: /� � ' Date: