1727 WALNUT ST 2022-03-23 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY9 R00�� 51z3/� �� PERMIT#(&O&, Oil BUILDING Intake OK by: Date: Intake Comments: 11?Af4l/.S5 C) /2 00,0z! .s'T,oAevz ❑ Route to Commercial Building Route to Residential Building ❑ Make this a "W" Permit BldgfTI/Addn/Rem Size L% C Garage/Accessory Struct. Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: El Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: []Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Addl RCW 64.55 docs required prior to final? ❑Yes ❑No VALUATION CALCULATION: Total $ Additional Notes: Approved By:. 6771 Date: 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 ❑New System ❑ Not Req'd Chemical Sup: ❑Update Existing El New System ❑ Not Req'd Additional Notes: Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Date: 43ilk — Intake Comments: Assign To: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone �2 Overlay/Agreement Nonresidential Use Residential Use s Proposed No. of Dwelling Units: — Total No. of Dwelling Units: Planning/Landscape Inspection Required before Val? ❑Yes ❑No "In Lieu" Fee: Type: Amo t $ School Impact Fee: Total $ t- Calculated: Cre;chool ❑Everett School Dist ❑Mukilteo Dist. Additional Notes: oi- ZW- Approved By: Date: 1,2. 31. PUBLIC WORKS Intake OK by: Date: Intake Comments: ;PW Worksheet Needed if., ❑Sys Dev Eval []Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: :(dental, medical, animals, mortuary, hospital, ;supportive housing) ❑Route 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 ❑ This Permit is Approved by Public Works ❑ 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 (loin with this folder for permit issuance) ❑ Will be issued separately (Separate Green Folder, PIN issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: