2421 81ST PL SE 2022-10-07 - Laserfiche WebLink

Intake &Approval Sheet O (FOR PERMIT STAFF ONLY) • PERMIT# F2 I (0 —0 Z9 BUILDING PLANNING Intake OK by: WI7 Date: 20,12_ Intake OK by:Ue . Assign To: / (440. Date: l:.. l40/0L Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ® Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a�""W""Permit K to Route to Other Departments Bldg/TI/Addnge. 81'ze /7/b ,� 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Ig-5 Zone Fes'— f Number of Stories / Overlay/Agreement Basement ❑Yes, Fin/Unfin Nonresidential Use . Type of Construction Residential Use tnt Occupancy Group /LG Proposed No.of Dwelling Units: Occupancy Load b • Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ONew System/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 ZNo Additional Notes: VALUATION CALCULATION: Total$ ,?c O 7O. at) Approved By: v"5 Date: Kizo)2$L4 PUBLIC WORKS' Intake OK by: Date: Additional Notes: Intake Comments: DPW Worksheet Needed if: =DSys Dev Eval ❑Traffic Mit Eval • IDSite Work or Drainage Proposed i❑Backflow Prevention for high hazard: Approved Date:0 !// i` -� :(dental,medical,animals,mortuary,hospital, t _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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously El Deferred Additional Notes: El 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(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: