1925 60TH ST SE 2021-12-23 - Laserfiche WebLink

Intake &Approval Sheet eq (FOR PERMIT STAFF ONLY 6 PERMIT# 6 a2^ Dr2-2' BUILDING r PLANNING Intake OK by: cftt Date: t9--,/ 1 5/i g Intake OK by+�_ Assign To: Date:\t.\N.19 Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. #, �\C\ -- 43 a Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments BIdg/TI/Addn/Rem Siz- .7 ❑ Hold in Planning File Drawer 'GrgiDe/-- -ssory.40 Size $6'I S,IT ,?112 S.F. \Zone rK— 1 Number of Sto -s . Overlay/Agreement Basement giNo ❑Yes, Fin/Unfin onresidential Use Type of Cinstruction �-I 1 esidential Use se.. 'fir• 0AANA Occupa,cy Group /c't roposed No.of Dwelling Units: C°'A.Q.. Occup=ncy Load tal No.of Dwelling Units: p Fire •rinklers: El Update Existing ❑New System giNot Req'd lanning/Landscape Inspection Required before Final? ❑Yes EINo Rea-en Sprinklers Required: 'In Lieu"Fee:Type: Amount$ Fire •larm: ❑Update Existing ❑New System NNot Req'd School Impact Fee: Total $ Rea-on Fire Alarm Required: Calculated: re It: RCW .4.55 MF worksheet req'd for permit? ❑Yes 0 No El Everett School Dist ❑Mukilteo School Dist Add'I R W 64.55 docs required prior to final? ❑Yes ON.; Additionala Notes: p \ - o no VALUAT 'N CALCULATION: Total$ k3'7, 5'Z(o 1 t�SuN� rtct �c'20. , c�et- "� ro^`41\nv \asp 0 ) 77/ . € /2/ 3 Y7- a Approved BC Date: 2,, \©,2®2,O 86 & -i8 PUBLIC WORKS Intake OK by: 'y*a Date: 12.I I to 1201 4 Additional Notes: ZoyS //LG + W-giCC Intake Comments: IPW Worksheet Needed if: -iDo'c'�' gSys Dev Eval ❑Traffic Mit Eval 15 46-540 ❑Site Work or Drainage Proposed I12 s- --du„�.a Approved By: Date: //�9120 42u -P A i r-r-pwv a `i�Backflow Prevention for high hazard: .'w •P�zg",-r rdz-?AM..C _(dental,medical,animals,mortuary,hospital, ? ►�.s�. S+C�p,n. !supportive housing) TA, �.-TCS a. .....4,.L.aD.R"-.. ,.4.. „wW,rd..........,.._.............................. FIRE DEPARTMENT 12 "oute 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: his Permit is Approved by Public Works ee PW Review Worksheet and associated attached items Fire Dept. Fees: A Separate PW Permit is Required (Permit#: PW 20o2-021. ) ❑ Review of As-Built Plans-NO FIRE FEE AND E 4s located in this folder - ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) rH Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:K. 3VID f,u4), Date: /��2.3-41 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By Date: b2/245/ 7./,, (..