4011 FRIDAY AVE 2021-11-12 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT#T)/2"1 02-050 BUILDING PLANNIING Intake OK by: Date: Intake OK by6 Assign TAWy - Date:3/1 Intake Comments: Intake Comments: L COWA1-/1(k LQi k yT 3/i . ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ oute to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size /El Hold in Planning File Drawer Garage/Accessory Struct.Size, Zone V- - Number of Stories Overlay/Agreement Basement ❑No ❑Yes in/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 Existi : ■New System ❑Not Req'd Planning/Landscape Inspection Required before Final? Dyes ❑No Reason Sprinklers Requiree. "In Lieu"Fee:Type: Amount$ Fire Alarm: CI Up. e Existing El New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alar 'equired: Calculated: Credit: RCW 64.55 MF - orksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW.4.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ 7)-0 Approved By: 1/ Date: 3/I L/ PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: DPW Worksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval j❑Site Work or Drainage Proposed Approved By: 3>' l Date: 0Backflow Prevention for high hazard: / (S/ (dental,medical,animals,mortuary,hospital, !supportive housing) FIRE DEPARTMENT DRoute 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ODeferred 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) ,,..11��s Approved By: Date: L 1 Public Works has no scope---PW Not Requir d Additional No • — 02121e l2,( ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: