3420 TULALIP AVE 2021-12-23 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) I PERMIT# CCW ag _;-pn BUILDING PLANNING ` 2� 16, Intake OK by: I f�,l� Date: n30 �16 Intake OK byC Date: \\•-3O. z/�\r Intake Comments: Intake Comments: Assign To: (au 9 ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit on OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage ccessory truct. Size 376 Sfi Zone R-• Number of Stories ,�( 1 Overlay/Agreement Basement ❑No Yes ,tip/Unfin Nonresidential Use Type of Construction -F Residential Use C✓F(L Occupancy Group (L Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System [hot Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ONew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes r�r No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes TEINo Additional Notes: VALUATION CALCULATION: Total$ 2.A *Z- Approved y=` Date: 1-1/17.J/cj PUBLIC WORKS Intake OK by: t Additional Notes: ZO/S 1,C- ks/, G Intake Comm nts: / PW Works eet Needed if: .)'I > ' ''---- - Ad*� 4 I 7 L?/W irgl Sys Dev Eva0 OTraffic Mit Eval �//F%1'JI1 '!// i / 1 Mite Work or Drainage Proposed Approved By: . , * Date: MUM v!J T(D S �l ,' , S ❑Backflow Prevention for high hazard: (� oo � f a � (dental,medical,animals,mortuary,hospital, �� I O, , g/Iy supportive housing) FIRE DEPARTMENT ►_'Route this folder for�eview 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 %This Permit is Approved by Public Works Date: (OK to Route to Other Departments) ❑ See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ONew System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ONew System ❑ Not Req'd AND ❑ Is located in this folder Chemical Sup: ❑Update Existing ONew System ❑ Not Req'd 0 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: J ELECTRICAL Star►m &- dE4.4jyl 77e---7C 4/4 Additional Notes: pE • 417,y$ Approved By: Date: Approved By: f%J Date: 7lho f�lq r � 1