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3506 ROCKEFELLER AVE 2022-01-21
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3506 ROCKEFELLER AVE 2022-01-21
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Last modified
1/21/2022 8:35:25 AM
Creation date
1/21/2022 8:35:00 AM
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Address Document
Street Name
ROCKEFELLER AVE
Street Number
3506
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Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# Okij $—oe <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK bN Assign To: MCA_ Date: <br /> Intake Comments: Intake Comments: <br /> ❑ Route to Commercial Building ❑ Attach to Project No. <br /> ❑ Route to Residential Building ❑ Route to Historic Reviewer <br /> ❑ Make this " " Permit ❑ OK to Route to Other Departments <br /> Bldg/TI/Ad n/Rem Siz 7, QJd494 ❑ Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Zone �, — <br /> Number of Stories Overlay/Agreement — <br /> Basement ❑No Yes , Fin/Unfin Nonresidential Use — <br /> i <br /> Type of Construction V`°'13 J Residential Use -S"f — <br /> Occupancy Group OZ :3 Proposed No. of Dwelling Units: <br /> Occupancy Load Ll f,,* Total No.of Dwelling Units: <br /> Fire Sprinklers: El Update Existing Mew System %Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 15!I,No k <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ — <br /> Fire Alarm: ❑Update Existing El New System 2Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No ❑Everett School Dist ❑Mukilteo School Dist <br /> Add''RCW 64.55 docs required prior to final? ❑Yes ItNo Additional Notes: �n�o�ncoI\ C�►:V <br /> VALUATION CALCULATION: Total$ /t7p 1J.� iVC(ON i5 QffcM :Qa Ok viA - yNk <br /> /Ac., <br /> x I oZ/ f,i <br /> Ccvs,,orFo�. 4 )si,„„rr ! Approved By: -- Date: k2-d\ Zr32,6 <br /> p G3/ Y`J PUBLIC WORKS <br /> o Intake OK by: Date: <br /> Additional Notes: Intake Comments: i PW Worksheet Needed if: <br /> ❑Sys Dev Eval ❑Traffic Mit Eval <br /> f €OSite Work or Drainage Proposed <br /> Approved By: Leg- Date: `2./3/AQ '1 <br /> DBackflow Prevention for high hazard: <br /> ` I(dental,medical,animals,mortuary,hospital, <br /> supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> ❑Fire Sprinklers El Fire Alarm ❑Other: AND OCreate Green Folder OSubmitted Previously El Deferred <br /> Additional Notes: ❑ This Permit is Approved by Public Works <br /> ❑ See PW Review Worksheet and associated attached items <br /> Fire Dept. Fees: ❑ A Separate PW Permit is Required(Permit#: PW ) <br /> ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder <br /> M Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) <br /> ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: K.ecown Date:9-29 02 '!4 Public Works has no scopeeit) ---PW Not Required <br /> Additional Notes:ELECTRICAL score <br /> Additional Notes: <br /> Approved By: Date: Approved By: a:A Date: /Q Z02D <br />
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