6531 CYPRESS ST 2022-10-14 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) 0 PERMIT# C.ZUI Z—60.1 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 d G 1 ❑ Route to Historic Reviewer CI—Make this a"W"Permit 0 OK to Route to Other Departments (iBldg/Addn/Rem Size gi l (77 4 CIHold in Planning File Drawer aragelAccessory Struct.Size Zone Number of Stories Overlay/Agreement Basement pNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction (S Residential Use t .615-cam I -- Occupancy Group �1Z Proposed No.of Dwelling Units: Occupancy Load //WA Total No.of Dwelling Units: I Fire Sprinklers: ❑Update Existing CI New System lreNot Req'd Planning/Landscape Inspection Required before Final? YesVo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ P Fire Alarm: CI Update Existing CI New System Th. 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 Scho ist Add'I RCW 64.55 docs required prior to final? ❑Yes allo Additional Notes: VALUATION CALCULATION: Total$. Approved By: Y..... Date: 12. U PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: pWWorksheet Needed if: I DSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed 3 �',c`am�� ❑Backflow Prevention for high hazard: Approved By: Date: :(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) CI Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred a Additional Notes: i CI 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 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: