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3202 51ST PL SW 2022-01-24
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3202 51ST PL SW 2022-01-24
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Last modified
1/24/2022 10:26:46 AM
Creation date
1/24/2022 10:26:21 AM
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Address Document
Street Name
51ST PL SW
Street Number
3202
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sIA2.00 11---Q <br /> Intake &Approval Sheet ..� <br /> pp (FOR PERMIT STAFF ONLY) PERMIT# "" - <br /> BUILDING '' PLANNING <br /> Intake OK by: /ill-- Date: g/i_G k I Intake OK by: Date: <br /> Intake Comments: Intake Comments: Assign To: <br /> Dfih,leot` iv - aYl (I/i Le fro <br /> \n\t,.' ae 124).F-9-%_.. 2/12/Z . <br /> D Route to Commercial Building 0 Attach to Project No. <br /> O Route to Residential Building 0 Route to Historic Reviewer <br /> ❑Make this a"W"Permit 0 OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size 4t 4 - ?' ❑ Hold in Planning File Drawer <br /> Garage/Accessory Struct. Size " Zone .c2...5 <br /> Number of Stories 2 Overlay/Agreement <br /> Basement ❑No ®Yes,(Fi /Unfin Nonresidential Use <br /> Type of Construction > Residential Use 46 4iLo 4 J ... <br /> Occupancy Group 142.ti Proposed No.of Dwelling Units: <br /> Occupancy Load )1Z_G Total No. of Dwelling Units: 1 . <br /> Fire Sprinklers: OUpdate Existing Clew System Not Req'd Planning/Landscape Inspection Required before Final? Yes No <br /> Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ <br /> Fire Alarm: DUpdate Existing ❑New System Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? DYes E No ❑Everett School Dist ❑Mukilteo Scho I Dist <br /> Add'I RCW 64.55 docs required prior to final? ""��D��.Y. es ANo Additional Notes: be S;r� i 24 Icy TJ1,.e,,ti or <br /> VALUATION CALCULATION: Total $ 401tO iro6 r 11J 1J off_ t5 .)- <br /> ��I ja.ees,0,,e_el �l�`- <br /> Approved By: IL, Date: -1-IZ_ 24 <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: i PW Worksheet Needed if: <br /> IDSys Dev Eval ❑Traffic Mit Eval <br /> ❑Site Work or Drainage Proposed <br /> C�/, L02,1Ittg_ [LBackflow Prevention for high hazard: <br /> Approved By: Date: 1(dental,medical,animals,mortuary,hospital, <br /> :supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end --- PW Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) This project also has a separate concurrent PW Review (Green Folder) <br /> DRoute to Fire Drawer--- Fire Preliminary Review Notice AND OCreate Green Folder ❑Submitted Previously ❑Deferred <br /> OSending Fire Notes to Project Team O This Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) D See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: DUpdate Existing ❑New System D Not Req'd ❑A Separate PW Permit is Required (Permit#: PW ) <br /> Fire Alarm: lapdate Existing ❑New System ❑Not Req'd AND 0 Is located in this folder <br /> Chemical Sup: OUpdate Existing DNew System 0 Not Req'd 0 Is in a Separate Green Folder (join with this folder for permit issuance) <br /> Additional Notes: 0 Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: V] Public Works has no scope--- PW Not Required <br /> Additional Notes: <br /> ELECTRICAL !Jo err , tllOeA IUDPaSE-b <br /> Additional Notes: <br /> Approved By: Date: Approved B Ij Date: 076,71 24 <br />
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