4632 FOWLER AVE 2021-11-12 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) PERMIT# .-97) b l-a f 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 ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑No ■ es , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Un' : Occupancy Load Total No.of Dwelling Unit . Fire Sprinklers: ❑Update E '-ting ❑New System ❑Not Req'd Planning/Landscape spection Required before Final? ❑Yes ❑No Reason Sprinklers Req ' ed: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑ •date Existing ❑New System ❑Not Req'd School Impact F,-: Total $ Reason Fire Al.' Required: Calculated: Credit: RCW 64.55 , worksheet req'd for permit? ❑Yes ❑ No ❑Everett S• ool Dist ❑Mukilteo School Dist Add'I R f 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ ace, // �ld-s 7 / �d< V07.3 �a Approved B Date: \ ,\2 2d t /, //Li)14/8kb • PUBLIC WORKS 7a5- o ak Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: �/ ) ,. ,q OSys Dev Eval OTraffic Mit Eval �1/ 1 � �/1/�V � I ]Site Work or Drainage Proposed Approved By: Date ,/17/ / OBackflow Prevention for high hazard: ,(dental,medical,animals,mortuary,hospital, ,supportive housing) FIRE DEPARTMENT ❑Route 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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑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 ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ 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 Additional Notes: Approved By: Date: Approved By: Date: 2..