3711 SMITH AVE 2022-05-24 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF AILY) • PERMIT# 3 i ctOR - 00-1 BUILDING PLANNING Intake OK by: Date: 2. « 9( Intake OK by: (---y- Date: Z• \S Zd\"1 Intake Comments: Intake Comments: Assign To: �C��\Qr� 0 Attach to ProjectSP l!v `Q — OQ \ El Route to Commercial Building No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit 6: OK to Route to Other Department Bldg/TI/Addn/Rem Size tq t co 2--`t i� ' ' ' miry h otter Garage/Accessory Struct. Size — Zone Number of Stories g- Overlay/Agreement \ Basement ❑No ®Yes , Fin/Unfin Nonresidential Use �Q\N\StkgS t'C -k- Type of Construction vO} Residential Use 631 C-12 Occupancy Group 9„-- 2_ Proposed No. of Dwelling Units: Occupancy Load --c.,e, Total No. of Dwelling Units: Fire Sprinklers: KlUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes EINo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55,V1F worksheet req'd for permit? ❑Yes Es4, No ❑Everett School Dist ❑Mukilteo School Dist Add'I ROW 64.55 docs required prior to final? ❑Yes 4No Additional Notes: VALUATION CALCULATION: Total $ ? OQ) 000 Approved zy" Date: S Z\, ?0\Ck PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: , / Date: 441.2 (\� ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT El Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team ❑ This Permit is Approved by Public Works Date: (OK to Route to Other Departments) ❑ See PW Review Worksheet and associated attached items Fire Sprinklers: pdate Existing DNew System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ' g/Update Existing ❑New System ❑ Not Req'd AND ❑ Is located in this folder Chemical Sup: .KUpdate Existing ❑New System ❑ Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ ADD FIRE FEE [ NO FIRE FEE 0 Public Works has no scope--- PW Not Required Approved By:5*._ Date: 3/14 J)Q Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: (% 14'\Y` Date: ..Z I)