1724 112TH ST SE 2022-05-02 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) 40 PERMIT# 3 2( 0 4 - 0 52- BUILDING : • PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: El Route to Commercial Building i ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route 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 V N. 3 Number of Stories Overlay/Agreement Basement No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use `A\ \,\I Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: � (AV\Q g Fire Sprinklers: ❑Upd. - Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ■Update Existing CI New System ❑Not Req'd School Impact Fee: Total $ Reaso• ire Alarm Required: . � Calculated: C . RCW 64.55 MF worksheet req'd for permit? ❑Yes 'wt No ❑Everett School Dist kilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ !) , C Approved By Date: L PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: I PW Worksheet Needed if.: 'DSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: L✓�'�� J�Date: li 0 �Backflow Prevention for high hazard: / }(dental,medical,animals,mortuary,hospital, !supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑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: ❑ 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: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: