2905 LEONARD DR 2022-03-23 - Laserfiche WebLink

Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY) I* PERMIT # DZo 3— 01�'(o BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this mit Bldgffl/Add Rem Size �j'QCJ Garage/Accessory Struct. Size Number of Stories Basement LYNo ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load L Fire Sprinklers: ❑Update Existing ❑New System P<ot Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing El New System Mot Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 Add'I RCW 64.55 docs required prior to final? ❑Yes Y�o VALUATION CALCULATION: Total $_� v 0� Zoo Additional Notes: Approved By: � Date: FIRE DEPARTMENT Separate / Deferred Submittals Required: El Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. Route to Historic Reviewer OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement f �5 Nonresidential Use Residential Use Proposed No. of Dwelling Units: �^ Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes []No "In Lieu" Fee: Type: Amount $ Of School Impact Fee: Total $ Calculated: Cr it: ❑Everett School Dist ❑Mukilt o School Dist Additional Notes: 5 (_� Sr d _ 4 (Dad �3 -3t_2-d Approved By: Date: Sv %/I PUBLIC WORKS Intake OK by: Date: Intake Comments: 1PW Worksheet Needed if.• ❑Sys Dev Eval ❑Traffic Mit Eval El Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: :(dental, medical, animals, mortuary, hospital, ,supportive housing) .. .........................................-......_..-...._.�............-......... ........ _............... ❑ Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred This Permit is Approved by Public Works USee PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (join with this folder for permit issuance) ❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Kk Date: L B 2! L/Z