2505 HOWARD AVE 2021-12-17 - Laserfiche WebLink

r&cdmIiaw -1I ► 44 1ea' - tY-M 6oceuvv-ky i u I202b, eri �( 11606 Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# ig L-c, f -" 024 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 g- Number of Stories Z- Overlay/Agreement Basement o ❑Yes , Fin/Unfin Nonresidential Use Type of Construction ' V-- 1 Residential Use vtivA-k�"` . -�.�i l.� Occupancy Group / Proposed No. of Dwelling Units: l Occupancy Load Total No. of Dwelling Units: / Fire Sprinklers: ❑Update Existing El New System ,Not Req'd Planning/Landscape Inspection Required before Finals es CI No Reason Sprinklers Required: / "In Lieu"Fee:Type: A nt$ Fire Alarm: El Update Existing El New System4Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ,Yes ❑ No ❑Everett School Dist Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? Yes ❑No Additional Notes: VALUATION CALCULATION: Total$S'%S S2 1.00 Approved B Date: T. M.2QZG PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By ,,,, Date:6, 2 Y�.4!�© !❑BaCkflOW Prevention for high hazard: ;(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 El 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 0 Is located in this folder P‘minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder Qoin 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:KRt47(A)h Date:?—/6 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: Ss