1907 W MUKILTEO BLVD 2021-11-15 - Laserfiche WebLink

PGt) 1 geg-C7 Intake &Approval Sheet 11110 (FOR PERMIT STAFF ONL19 6 PERMIT# rEll BUILDING PLANNING Intake OK by: Date: 2 (U Intake OK by: (—Thor::) Date:_ 2� 2O\ Intake Comments. Intake Comments: Assign To: C {\Otl-Q_. rg ❑ Route to Commercial Building 0 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 0 Hold in Planning File Drawer Garage/Accessory Struct. Size • Zone - Number of Stories Overlay/Agreement "'—• Basement El No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use S 7-'c Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑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? ❑Yes 0 No ❑Everett School Dist ❑Mukilteo School Dist. Add'l RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ C'-�.-p\ Ica\\\0.' (AdaS NsktS CoV-m .\\ ceo2OLQA wt Cs Approved Bx, Date: 69. \L- ZOVq PUBLIC WORKS Intake OK by:_fAC Date: 2 ay 2d8 Additional Notes: Intake Comments:/ PW Worksheet Needed if: 304 , / C- . ❑Sys Dev Eval ❑ - Traffic Mit Eval W Ll.(J � Site Work or Drainage Proposed � ] / ❑Backflow Prevention for high hazard: Approved By: . Date: tj!f j'$ rl�£ { � la (dental,medical,animals,mortuary,hospital, �e U /�/10 Pos £, supportive housing) FIRE DEPARTMENT %Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team IP This Permit is Approved by Public Works Date: (OK to Route to Other Departments) ❑ See PW Review Worksheet and associated attached items Fire Sprinklers: DUpdate Existing El New System ❑ Not Req'd ❑A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND VI Is located in this folder Chemical Sup: ❑Update Existing ❑New System ❑ Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ 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 B . Date: /404 "/sara