2602 81ST PL SE 2022-10-07 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) III PERMIT# 910 VIk2—CO BUILDING / PLANNING Intake OK by: iti Date: tZS"�� g Intake OK by: Assign To: Date: Intake Comments: Intake Comments: \ AO 6KOACyl. \lb Q-‘i.rS\-\\( \O\--2,s\dS \N\OA' ❑ Route to Commercial Building ❑ Attach to Project No. 71 •ute to Residential Building O� El Route to Historic Reviewer 'd Make this a"W"Permit W��U ` ❑ OK to Route to Other Departments Bl.' /TI/Addn/Rem Size CIS $.le, ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement INNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group IE.. Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: G��R Fire Sprinklers: ['Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: CI Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: redit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ G74/‹c Approved Bye." Date: V., ,QS ICA PUBLIC WORKS Intake OK by: Date: 12 Q 3 e 'o t 4 Additional Notes: 20/s-jt L 4 uts G Intake Comments: IPW Worksheet Needed if: l 4-t'_ — 'Wete"' €❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed t lc Co ❑Backflow Prevention for high hazard: Approved By: C Date: IZ/Gt/19 kleAr42:1> S44-F,AC,E.- (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) ❑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 Coin 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: Alaublic Works has no scope---PW Not Required Additional Not /2 Is it2c)l sl ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: