2504 HOWARD AVE 2021-12-22 - Laserfiche WebLink

. • Intake 03 -054--- & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# C �-'` BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: vJ CcvCe_ Wef .* S •4\-- ; QC) q Cc7A')I-eA ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit I El OK to Route to Other Departments Bldg/TI/Addn/Rem Size 1Ji ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size t` Zone vkC Number of Stories / Overlay/Agreement Basement allo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction c.. Residential Use ` 41 kVC\ Occupancy Group /2i- Y( Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System urNot Req'd Planning/Landscape Inspection Required before Final') Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amo Fire Alarm: ❑Update Existing ❑New System 6Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: edit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 12iNo ❑Everett School Dist ❑Muk eo School Dist Add.'RCW 64.55 docs required prior to final? oyes pNo Additional Notes: VALUATION CALCULATION: Total$ 7,5-0° Approved By: Date: cS_M.?in. cc PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: :PIN worksheet Needed if. /� v /� / €❑Sys Dev Eval ❑Traffic Mit Eval �` / ❑Site Work or Drainage Proposed Approved By: Date: 7 / ❑Backflow 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) ❑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 0 Is located in this folder 0 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 0 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: Z