1020 NORTH PARK DR 2022-02-23 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) O PERMIT# 6l gfD •o/q BUILDING i, PLANNING Intake OK by:, ' Date: (O`23/6. Intake OK by: K�9" Date: I.0-2-3( Intake Comments: Intake Comments: Assign To: Y-• }-o rj ,; L o n�1 P C iNeYtani- rp4,0l ❑ Route to Commercial Building LI Attach to Project No. �. Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit Eia,OK to Route to Other Departments Bldg/T- a.d 'ern Size '- & 6:--, 0 Hold in Planning File Drawer Garages Struct.Size 3c24d siA peck Zone le.—I , Number of Stories I Overlay/Agreement Basement ❑No ®.Yes ,(56)/Unfin Nonresidential Use Type of Construction Residential Use alL\-0.(.1/4 ` f-- Occupancy Group Proposed No. of Dwelling Units: — Occupancy Load Total No. of Dwelling Units: I Fire Sprinklers: ❑Update Existing ONew System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes In-No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ,I0 No DEverett School Dist ❑Mukilteo Sc�"oo�l Dist Add'I RCW 64.55 docs required prior to final? ❑Yes N.No Additional Notes: n p�.5 no\ep1 Co\e.nw, .- VALUATION CALCULATION: Total dU(,S: AFNS Z0Ig0ll $V t q ?.o Holt SOy� / � �I 1h kr it-)16�5 i�a �eo 1/ gI 11 Y�"C�" ' ( /240/9► N� 4QO%llan)�0 4l>Vl4• Approved By: Date: 1- 16. 19 Y( 5 S, �Ud° O 4 5� r t"`P IUBLIC WORKS QJ'71. Sid Ofriv 04C 2il ci2 Intake OK by::.A- Date: /0/a3 201g Qs Additional Notes: '2 `izL et. WSWG. Intake Comments: PW WorksheetNeeded if:Srk * Ekplfici ❑Sys Dev Eval ❑Traffic Mit Eval Er ' t,�_` ite Work or Drainage Proposed Approved By: _ i-6 Date: /1/za/is (,Ga � �lCt;/� k Onackflow Prevention for high hazard: v, 111 \ (dental,medical,animals,mortuary,hospital, sty 6 =Cngsr supportive housing) FIRE DEPARTMENT Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing El New System ❑ Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND ❑ Is located in this folder Chemical Sup: ❑Update Existing ❑New System ❑ Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: 1101 1 P, t 16 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope--- PW Not Required Additional Notes: MAndrc.Ait q P /n.� `D� 'f p fij ELECTRICAL WO E { d ebatih Additional Notes: Approved By: Date: Approved y. Date: ///3o/ze'8