2818 HOYT AVE FRATERNAL ORDER OF EAGLES 2022-05-23

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) II PERMIT# B21,O OL BUILDING PLANNING Intake OK by:1, 11- Date:ay/O OZ( Intake OK by: Assign To: Date: 3/1i /7J7—t Intake Comments: Intake Comments: erN ci Ale a pra +t:d. thve oil -ci or on-ice-WW1 Fed sire ±.. -t l:10 1YrSke El Route to Commercial Building ttach to Project No. p�i.V 11 24 OO-1 ❑ Route to Residential Building Route to Historic Reviewer ❑ Make this a"W"Permit ❑ K to Route to Other Departments Bldg/TI/Addn/Rem Size kc'1.t Ti - f 'I'6Q di p 'i of in '+�q �1 Garage/Accessory Struct. Size Zone 4 ' 1 V Number of Stories ! Overlay/Agreement ?-wits-\--(ya vis Basement ❑No in Fi /Unfin Nonresidential Use Type of Construction VV—E Residential Use Occupancy Group 15 Proposed No.of Dwelling Units: Occupancy Load e{5 i21,a,)! PA 1 Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System OINot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing)iNew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: ��1\ Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes Or No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ ,..3-XJ c/O7 Approved By:64 Date: 7/14.12_02_1 PUBLIC WORKS Intake OK by: Date: Additional Notes: 22 _r' (JJ�� 'va( Intake Comments: IPW Worksheet Nee,�d,�d if: `( it? d ��/1' Nal t/rw IOSys Dev Eval LgTraffic Mit Eval 1* k � J S ,9 '?�2(,PKI❑Site Work or Drainage Proposed Approved By: / Date: / //q ,rx 1 ❑Backflow Prevention for high hazard: _(dental,medical,animals,mortuary,hospital, isupportive housing) FIRE DEPARTMENT ❑Route 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 YAFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously El Deferred 7 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 0 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) \FIReview/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: /... - Date: /0 A `g./ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: 11 B Date:?/06/1213-4