2817 WETMORE AVE DWELL MORTGAGE 2022-04-05

III Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) PERMIT# V2106—v3 g BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: 1 \!-"e/LZ \ �'15 M L- 0�`a-�Y)&- ❑ Route to Commercial Building ❑ ,ttach to Project No. ❑ Route to Residential Building i4 'o u t e to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 41, 6a2 0 0 Hold in Planning File Drawer Garage/Accessory Struct. Size "�' ZoneL Number of Stories Overlay/Agreement Basement ❑No 'Yes,, Fin/Unfin Nonresidential Use rca Type of Construction I/ !!a Residential Use Occupancy Group a Proposed No. of Dwelling Units: Occupancy Load 3 1 Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System Mot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ''No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New Systemot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 41 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes itiNo Additional Notes: VALUATION CALCULATION: Total$ ��'i042,w Approved By: y Date: (0 .11. Z,' UBLIC WORKS- Intake OK by: Date: Additional Notes: Intake Comments: jPWWorksheet Needed if: =DSys Dev Eval ❑TrafficMit Eval I❑Site Work or Drainage Proposed Approved By: Dater' 2�k1 €0Backflow Prevention for high hazard: '(dental,medical,animals,mortuary,hospital, _supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers El Fire Alarm El 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(loin 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: Date: Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: