2008 GRAND AVE 101 2023-06-14 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT#131\U�� V 1 V • BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size j wi- -kid«c 0 Hold in Planning File Drawer Garage/Accessory Struct. Size �' Zone U-I) Number of Stories l Overlay/Agreement %4ai .. Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction V r A Residential Use YimiV t 4Nvur\-) Occupancy Group 2-- Z Proposed No. of Dwelling Units: Occupancy Load / � Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System 0. Not Req'd Planning/Landscape Inspection Required before Fin . ❑Yes 'No Reason Sprinklers Required: �{ "In Lieu"Fee: Type: Amo $ Fire Alarm: El Update Existing El New System CJNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? CI Yes lif No ❑Everett School Dist ❑Mukilteo chool Dist Add'i RCW 64.55 docs required prior to final? ❑Yes grNo Additional Notes: ,,nNitA be- kpat� OA VALUATION CALCULATION: Total$ 06 Approved By: \(,,,\\ej.' Date: `�_1"L.Li ,VftP1UBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: FPW Worksheet Needed if:IDSys Dev Eval ❑Traffic Mit Eval // DSite Work or Drainage Proposed Approved By: Z�'I Date:a-/`z ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, !supportive housing) s 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 ❑ 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 ❑ 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 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: L Date: Public Works has no scope---PW Not Required _ Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Z...."..... - Date: 2..