5208 33RD AVE W 2022-03-03 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) 40 PERMIT# B 210 3—d13 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 0 OK to Route to Other Departments Bldg/TI/Ad</R`emSiz 0 Hold in Planning File Drawer Garage/Accessory Struct.Size e'S. Zone Number of Stories / Overlay/Agreement Basement ❑No Yes , Fin/Unfin Nonresidential Use r=„q„n'37► Type of Construction ''$ ' 2,(C Residential Use 14. • . Cj Occupancy Group ?5"' rgc. Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: ` Fire Sprinklers: ❑Update Existing ONew System,Not Req'd Planning/Landscape Inspection Required before F' al? ❑Yes c4No Reason Sprinklers Required: "In Lieu"Fee:Type: Amou $ Fire Alarm: El Update Existing ❑New SystemElNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No ❑Everett School Dist ❑Mukilteo School ist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: 1 ne„,i +.Az-06' 02:91) n0 • VALUATION CALCULATION: Total$2z.,c7L�� y` t7a2. �- �/ },__j Approved By: i Date: r z,to ' ii PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval I❑Site Work or Drainage Proposed i❑Backflow Prevention for high h- .rd: Approved By Date:©�/�20,'2/ €(dental.medical animals,mortua ospital, !supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Rev"' Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent P eview(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted ' eviously ❑Deferred Additional Notes: ❑This Permit is Approved by Public W s '' ❑ See PW Review Worksheet an.,:ssociated attached items Fire Dept. Fees: ❑ A Separate PW Permit is R:.uired (Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this ' Ider ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Sepa,. e Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be i ed separately(Separate Green Folder,PW is e head of Bld Approved By: Date: ❑ Public Wor has no scope---PW Not uired Additional N• es: d e> ELECTRICAL Oj Additional Notes: OLlit" ;1,1) Approved By: Date: Appr•ved By: Date: /�