1525 75TH ST SW COMCAST 2022-07-14

• • Co Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#� D�� BUILDING PLANNING .r'. Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: qq "ate" e.S c, v6i\C4( vie \% AZACern ��J Ct✓kk.a c )c.k CAI rMc "k-t aS �cc�e��( �n �., ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a "W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size ' ') Oki. d ElHold in Planning File Drawer Garage/Accessory Struct.Size Zone L.Z 1_, Number of Stories / Overlay/Agreement Basement 173No ❑Yes, Fin/Unfin Nonresidential Use US4IQ_ Type of Construction ✓—L5 Residential Use Occupancy Group L S=-//,A-3 Proposed No.of Dwelling Units: Occupancy Load 1 3% d` Total No.of Dwelling Units: Fire Sprinklers: 14 Update Existing El New System El Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes pNo Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: EtUpdate Existing El New 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 I No ❑Everett School Dist ❑Mukllteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes 4g1No Additional Notes: �S,j_� j`5C_ e`7 I1 5 6,E VOW" VALUATION CALCULATION: Total$ c )(J10C° ✓'�l ' Approved By: )L.1�,Lr Date: . --Li I PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval l ❑Site Work or Drainage Proposed Approved By: C Date:S% i O'/ .y ❑Backflow Prevention for high hazard: 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: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder OSubmitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 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 ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder Coin with this folder for permit issuance) 13 Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(separate Green Folder,PW issued ahead of Bldg) Approved By: K.I,jt.n`A).A Date: 11-6, / ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: