820 41ST PL 2022-10-07 - Laserfiche WebLink

• • *41114-..12 Intake &Approval Sheet FO PERMIT STAFF ON PERMIT# 22OO,�, t pp ( 17 BUILDING PLANNING Intake OK by: !E-- Date: //1//240 Intake 7.- Assign To: -� Date: Z3 it Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size ,S/Z S7 Pak-- Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction ‘, Residential Use Occupancy Group 4r4eC Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ItStNot Req'd Planning/Landscape Inspection Required before Fi.- . al Yes El No Reason Sprinklers Required: "In Lieu"Fee:Type: dint$ Fire Alarm: DUpdate Existing El New System RINot Req'd School Impact Fee: Total $ =� Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes t No 0 Everett School Dist E Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 6'No Additional Notes: VALUATION CALCULATION: Total$ Ljf/[900 j l �,�.0.20ZZ Approved Date: PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: DSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: Date: &ni` Z €(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) OFire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑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 0 Minimal or No Fire Scope-NO FIRE FEE 0 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: