1819 CEDAR ST 2022-10-06 - Laserfiche WebLink

• • Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) PERMIT#yz 04 - 6 BUILDING PLANNING' Intake OK by: Date: 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 ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement _ Basement ❑No gl Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Upda - xisting ONew System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers '-quired: "In Lieu"Fee:Type: Amount$ Fire Alarm: IP Update Existing El New System El Not Req'd School Impact Fee: Total $ Reason Fire A :rm Required: Calculated: Credit: RCW 64.55 F worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑f!Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ $ 7O'' Approved By: L � Date: / 504p,24 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: te41 h1P ❑Sys Dev Eval °Traffic Mit Eval Site Work or Drainage Proposed Approved By: Z..I.29 Date: ?!j7O7f IDBackflow Prevention for high hazard: _(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 ❑Submitted Previously ❑Deferred 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 ❑ 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 �,[, El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: dLl Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: ,4d j✓l,. Date: 071. �