1415 75TH ST SW HELION ENERGY 2022-04-29

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 01q 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 oute to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Z.. Number of Stories Overlay/Agreement Basement El No ❑Yes, Fin/Unfin Nonresidential Use Wkitilrlcr,.��{� Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? DYes• No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: DUpdate Existing ONew System El Not 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 DMukilteo School Dist Add'I RCW 64.55 does required prior to final? Oyes ❑No Additional Notes: VALUATION CALCULATION: Total$ Ceto ralg Approved By: Date: I • `%7i PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: IPWWorksheet Needed if: = Sys Dev Eval ❑Traffic Mit Eval ;DSite Work or Drainage Proposed ,. Date:u l�q,,,� ❑Backflow Prevention for high hazard: Approved By: I I • :(dental,medical,animals,mortuary,hospital, !supportive housing) • FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: OThis project also has a separate concurrent PW Review(Green Folder) ire Sprinklers ❑Fire Alarm DOther: AND OCreate 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: ❑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 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: K i pj, o,„, Date: 1102 4 ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: