2009 FAIRFAX AVE 2022-02-04 - Laserfiche WebLink

Intake & Approval Shee* (FOR PERMIT STAFF O* . PERMIT # t t Q a -01 6 BUILDING Intake OK by: Date: P- ►- / Intake Comments: ❑ Route to Commercial Building Pq Route to Residential Building ❑ Make this a "W" Permit Bldg/TI , /Rem Size Garage/fk6cessory Struct. Size Number o Stories Basement WNo ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System El Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes No Add'] RCW 64.55 dots required prior to final? ❑Yes No VALUATION CALCULATION: Total $ 40, 730 [ o tg 5�f e ei /s, F. 2-65-5<A R- i1&// iF Additional Notes: 00/'s— f,<CSa�� Approved By: Date: / Z / 7 FIRE DEPARTMENT Intake: (Needed for Townhomes, Alley load SFR, New Commercial) ❑ Route to Fire Drawer --- Fire Preliminary Review Notice ❑Sending Fire Notes to Project Team Date: (OK to Route to Other Departments) Fire Sprinklers: ❑Update Existing ❑New System ❑ Not Req'd Fire Alarm: ❑Update Existing El New System ❑ Not Req'd Chemical Sup: ❑Update Existing El New System ❑ Not Req'd Additional Notes: Y1 Et Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Date:_ Intake Comments: Assign To: ❑ Attach to Project No. ❑ Route to Historic Reviewer OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: —' Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes ®No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Cr�c�hoolDist ❑Everett School Dist ❑Mukilte Additional Notes: �r �oMe/5 M-*s�— )a mw"J Approved By: Date: PUBLIC WORKS Intake OK by` n�-a4 Date: IZIto 126 t 00 --- --�I ------------------------ Intake Comments: ;PWWorksheetNeededif.- •-,A'p9 -rY %G t S'P-4bS4VL4clOSys Dev Eva] ❑Traffic Mit Eval ,.Site Work or Drainage Proposed �N�a.ycw/►ts -ro �E I]Backflow Prevention for high hazard: :(dental, medical, animals, mortuary, hospital, sTL p�� .i.r;•q` ;supportive housing) boute this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND []Create Green Folder ❑Submitted Previously ❑Deferred his Permit is Approved by Public Works P.See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder Qoin 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 By: Date: 1 (� 1 I/a,