832 80TH ST SW WOLFE PLUMBING 2022-01-24

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date:012)P Intake Comments: Intake Comments: El Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ ute to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size e2^. ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size — Zone Number of Stories Overlay/Agreement Basement 121iNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Sf- i5, Residential Use Occupancy Group V7P Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: Update Existing El New System El Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Required: "In Li Type: Amount$ Fire Alarm: ®Update Existing ❑New System El Not Req'd School Impact Fee: tal $ Reason Fire Alarm Required: Calculated: edit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No ❑Everett Sc ist ❑Mukilteo Schoo t Add'I RCW 64.55 does required prior to final? ❑Yes WINO Additi al Notes: Nu 0 VALUATION CALCULATION: Total$ 3 5/G"° e ,rt � �� ' (pp(a e-al JH,i --}-h►s ren 1 . /.24 Approved By: „ Date:PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 1PW Worksheet Needed if: OSys Dev Eval OTraffic Mit Eval ❑Site Work or Drainage Proposed IOBackflow Prevention for high hazard: Approved By: Date: '''(/1 5/fob 3(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) ❑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: ❑ A Separate PW Permit is Required(Permit#:PW ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) tiit Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:•0367jW n Date:6' 5 40,2d ®-Public Works has no scope---PW Not Required Additional Notes: o1/f?/2c z-o ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: