4632 FOWLER AVE 2021-11-12 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 13Z1 o3_ D$'1 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Y , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update - isting ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? Ekes ANo Reason Sprinklers '-•uired: "In Lieu"Fee:Type: Amount$ Fire Alarm: d Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: �- Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? li~tYes I, No ❑Everett School Dist ❑Mukilteo School Dist Add]RCW 64.55 docs required prior to final? ❑Yes joNo Additional Notes: rxQ� VALUATION CALCULATION: Total$ 00° 6rN\-7 Approved By: 4\ Date: . 110,"1A �26 �� P BLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 1 PW Worksheet Needed if: �r�lL L J1C; jOSys Dev Eval ❑Traffic Mit Eval El Site Work or Drainage Proposed Approved By: Date: J ill, 1❑Backflow Prevention for high hazard: I(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) II❑ 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: