1923 33RD ST 2022-01-24 - Laserfiche WebLink

Intake &Approval Sheet r (FOR PERMIT STAFF ONLY) 0 PERMIT# c,(—03/ BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. TO Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments BldgfTI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction 1-6 Residential Use Occupancy Group 12. Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: CI Update Existing DI New System ❑Not Req'd Planning/Landscape Insp- tion Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: CI Update Existing CI New System CI Not Req'd School Impact Fee: 'otal $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes la No ❑Everett Schoo list ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to fi . ❑Yes t7 No Additional Not-.: VALUATION CALCULATION: Tot I$ D lik Approved By: —� Date: \` ,6p Z. \, PUBLIC WORKS SUa 4 To Fi .4--D IN S PEC?40N Intake OK by: Date: I/12,4619 Additional Notes: 2,2 t S I gL Intake Comments: I PW Worksheet Needed if: 48-K c {� ' Eval ❑Traffic Mit Eval I I LI� _❑Sit❑Syse WorkDev or Drainage Proposed Approved By: Date: 1/keg",1 146 do , N o S ❑Backflow Prevention for high hazard: t,otyt` l _(dental,medical,animals,mortuary,hospital, V� =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) CI Fire Sprinklers CI Fire Alarm CI Other: AND ❑Create Green Folder ❑Submitted Previously CI Deferred Additional Notes: 0 This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ 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 ❑ Is in a Separate Green Folder(join 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: 1'4 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: iwz,,72,a19