9715 18TH AVE W 2021-11-08 - Laserfiche WebLink

Intake & Approval Sheet le (FOR PERMIT STAFF ONLY) • PERMIT# '2,1C�q'n21. 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 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/AddgRem Si Z g SF �pFcx) ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size /Ff Zone Number of Stories Z. Overlay/Agreement Basement 8No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction ' 7/2C Residential Use 64•DJSZty 5 2' Occupancy Group /LC Proposed No.of Dwelling Units: r' Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System PNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes (o Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System lot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: . Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes j51 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes EiNo Additional Notes: Aff!t•Pea0qa Mee) (A. 1403 VALUATION CALCULATION: Total$ 42G0 0 , _,y` /o Approved By: 1Z. I Date: 5-Z,1 —7,:f BLIC WORKS- , / Intake OK by: Date: Additional Notes: Intake Comments: Works he et Needed if. IOSys Dev Eval ❑Traffic Mit Eval i OSite Work or Drainage Proposed OBackflow Prevention for high hazard: Approved B Date:t . p'jile,Z j !(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT DRoute 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 El Deferred Additional Notes: I, rt 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 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 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 -lorityk r 5cts-kot Da Fees ohl' if 37.g2 Additional Notes: alf[r€4 -Iv e '/-0 27 Approved By: Date: Approved By: Date: if 147024