1728 W MARINE VIEW DR A PLUS HEARING AIDS 2022-07-01

Aft- Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) W PERMIT#7-a. `dCI 09 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 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 `, •Ar ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size — Zone C-Z. Number of Stories 2_ Overlay/Agreement Cc..rr €Z 4.Li Li 0 Basement VINO Dyes , Fin/Unfin Nonresidential Use Type of Construction \11 Residential Use Occupancy Group if7 Proposed No.of Dwelling Units: Occupancy Load 11- Total No.of Dwelling Units: 7 Fire Sprinklers:0Update Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes RNo Reason Sprinkl rs Required: "In Lieu"Fee:Type: mount$ Fire Alarm: PA.,Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cr dit: RCW 64.55 MF worksheet req'd for permit? ❑Yes Al No DEverett School Dist ❑Muk' eo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes IZI•No Additional Notes: l n (9r-- l.� ClIG3 , 71 O VALUATION CALCULATION: Total$ 4t''Z) 0vMnn,� ,rp-.J.Q,d or �' 1 A-o -e.?cor a5 Pot- :7 fe rr1t\- - Approved By: yl Date: 41`1(o,1 q PUBLIC WORKS Intake OK by: -rt.-A Date: ct II In I 19 Additional Notes: Intake Comments: PW Worksheet Needed if: I kl-rez%s`1' T ❑► ' Sys Dev Eval ❑Traffic Mit Eval Vr t0i7-K- 004.1-41 1❑Site Work or Drainage Proposed Approved By: .t 1 Date: e%\ \ l ❑Backflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, €supportive housing) II RE 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 tlFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works "5 F,Re 0 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) ❑ Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: f ,ri Date: 71 coJt Sj Public Works has no scope Not Re ired co/t Notes: �� Q//671 Iq ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: