1615 75TH ST SW PACE 2022-07-14 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 1' 21©3� �' �.�,�BUILDING / �^' PLANNING Intake OK by: G�Cs� Date: 16/j /�) Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ElOK to Route to Other Departments Bld4/TI/ ddn/Rem Size %.4 '6 45"F ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Afb Zone Li 7 Number of Stories — Overlay/Agreement Basement No ❑Yes , Fin/Unfin Nonresidential Use _ 4 ,.W4' r� Type of Construction Residential Use Occupancy Group 2j Z£/ Proposed No.of Dwelling Units: •••JJJ Occupancy Load 2. 41 Total No.of Dwelling Units: Fire Sprinklers: RI Update Existing El New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes f2Clo Reason Sprinklers Required: "In Lieu"Fee:Type: __ Amount$ gra Fire Alarm: Update Existing ❑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 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: I - (A:30(--- OftV) VALUATION CALCULATION: Total$ bC / iO4' �Gf 1 Approved By: )L 61Date: ti, ), tl PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: I PW Worksheet Needed i: r .s In oI,FiS t P I i `DSys Dev Eval 526r is it val ❑Site Work or Drainage Proposed i� i UBackflow Prevention for high hazard: Approved B Date:d�J�/ � Qirtit +0 liV,ti„i,u Q � l lift 1(dental,medical,animals,mortuary,hospital, `supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ii-e Sprinklers a Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: aThis_Rerr it is A proved I y Public orks See 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: �jVj Date: /�� - � ---_ ter— a A',S7 ._ Additional Notes: �i� ELECTRICAL n cirrAdi �I J ��,� �r:l .I Additional Notes: W� t- U� ► Approved By: Date: Approved By: vV�® Date: 5 9A apa\ 2y