3706 WETMORE AVE 2022-03-24 - Laserfiche WebLink

Intake & Approval Sheet 1$ (FOR PERMIT STAFF ONLr • PERMIT # 821017' BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size _— ara ;/Accessory Struct. Size r% 1_1 J �� 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: El Update Existing El New System J3Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes No Add'I RCW 64.55 docs required prior to final? ❑�1Yes n.i No VALUATION CALCULATION: Total $ GV Additional Notes: r� Approved B ./ Date: FIRE DEPARTMENT Separate / Deferred Submittals Required: El Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Wive Date: Z Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone U 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: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By: Date: 4. 2-0. ZFi� PUBLIC WORKS Intake OK by: Date: ............................................................................................................................................... Intake Comments: 'PW Worksheet Needed if.• I❑Sys Dev Eval ❑Traffic Mit Eval []Site Work or Drainage Proposed i❑Backflow Prevention for high hazard: '(dental, medical, animals, mortuary, hospital, 'supportive housing) ........................................................................_....................................................................... ............ El 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 c , This Permit is Approved by Public Works E1,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: 3 Z