7107 YEW ST 2022-01-13 - Laserfiche WebLink

i Intake & Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# 91 V '-6o 1 BUILDING; PLANNING Intake OK by: Date: 5/30//f / Intake OK by: Date:_, Intake Comments: Intake Comments: Assign To: Et Route to Commercial Building(Sr to ..?vt24L) ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garag /Accessory S ct. Size /9' SiC Zone (- 1 Number o odes 4J/4 Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction VR Residential Use Occupancy Group (A Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes INo Reason Sprinklers Required: "In Lieu"Fee:Type: , _ Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: rr Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes i�v,No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ONo Additional Notes: \� OC\mil\\O\\� \t v VALUATION CALCULATION: Total$ e ''� C 'c 44\(.c ten, '1%©2A.0- 02(0 Approved By: s,e.1 7 Date: AS-1©.201Q PUBLIC WORKS Intake OK by: Date: Additional Notes: Z 9/$ //1C Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval DSite Work or Drainage Proposed Approved By: s(rDate: I1 (pg ❑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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans- NO FIRE FEE AND 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE El Is in a Separate Green Folder(loin 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: Date: Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: 1 /Y Date: y30//,'