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11611 AIRPORT RD 2022-01-11
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11611 AIRPORT RD 2022-01-11
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Last modified
1/11/2022 10:30:59 AM
Creation date
1/11/2022 10:29:45 AM
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Address Document
Street Name
AIRPORT RD
Street Number
11611
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Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 1A.)2`03 `CO' <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Assign To: Date: <br /> Intake Comments: Intake Comments: <br /> ❑ Route to Commercial Building ❑ Attach to Project No. <br /> ❑ Route to Residential Building ❑ Route to Historic Reviewer <br /> ❑ Make this a"W" Permit ❑ OK to Route to Other Departments <br /> Bld fj ddn/Rem Size 73-0 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Zone <br /> Number of Stories O--t Overlay/Agreement <br /> Basement ZtNo ❑Yes , Fin/Unfin Nonresidential Use <br /> Type of Construction — Residential Use <br /> Occupancy Group l" Proposed No.of Dwelling Uni <br /> Occupancy Load 0 Total No.of Dwelling Units: <br /> Fire Sprinklers: ❑Update Existing CI New System 31Not Req'd Planning/Landscape I pection Required before Final? ❑Yes ❑No <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: Update Existing ❑New System tot Req'd School Impact Fe- ' Total $ <br /> Reason Fire Alarm Required: ,�7 Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes La'No ❑Everett S ool Dist ❑M kilteo School Dist <br /> Add'I RCW 64.55 does required prior to final? ❑Yes INo Additional otes: <br /> VALUATION CALCULATION: Total$ J 7/J.5-C) <br /> Approved By: Date: <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: IPWWorksheetNeededif:: <br /> i❑Sys Dev Eval ❑Traffic Mit Eval <br /> El Site Work or Drainage Proposed <br /> / €❑Backflow Prevention for high hazard: <br /> Approved By: l_��� Date:3 /7 V <br /> (dental,medical,animals,mortuary,hop' , <br /> :supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review orksheet <br /> Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW R=' ew(Green Folder) <br /> ❑Fire Sprinklers ❑Fire Alarm ❑e er: AND ❑Create Green Folder ❑Submitted Pre,'ously ❑Deferred <br /> Additional Notes: 0 This Permit is Approved by Public Work <br /> 0 See PW Review Worksheet and as-•ciated attached items <br /> Fire Dept. Fees: N. ❑ A Separate PW Permit is Requ' -d (Permit#: PW ) <br /> ❑ Review of As-B. t Plans-NO FIRE FEE AND 0 Is located in this fol.-r <br /> ❑ Minimal or o Fire Scope-NO FIRE FEE ❑ Is in a Separate reen Folder(join with this folder for permit issuance) <br /> ❑ Review nspection Scope-ADD FIRE FEE 0 Will be issu- separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approv:: By: Date: 0 Public Works :s no scope---PW Not Required <br /> Additional Note-. / <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br />
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