6402 HIGHLAND DR 2022-10-28 - Laserfiche WebLink

I take & A.prnval Sheet 410 (F•R PERMIT STAFF ONLY) 0 PERMIT# . 362(/0?lU 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 i ElRoute to Historic Reviewer ❑ ake this a"W"Permit ❑ OK to Route to Other Departments I - Bldi,/TI/Addn/Rem Size I i ® Hold in Planning File Drawer �Garage/Accessory Struct. Size5 ,/ ,,- f Zone j Number of Stories °Z. r Overlay/Agreement Basement No ❑Yes, Fin/Unfin Nonresidential Use ;Type of Construction `Residential Use Occupancy Group (:2rk !Proposed No.of Dwelling Units: Occupancy Load ‘-7 -� Total No. of Dwelling Units: (Fire Sprinklers: ❑Update Existing ❑New System- Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: .�y 1"In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑ tZa New System Not Req'd 'School Impact Fee: Total $ Reason Fire Alarm Required: 'Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? El Yes No El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes `®No _ Additional Notes: VALUATION CA(LULATION: Total$ Zt 7 �• I - az 702 ze it ,gare4 4- .01 J10 x e-iV r(, To 17"flt Approved By: Date: i t'k1tCIS°°) y 15,552•'0 'f' 4(gv,1O, _ PUBLIC WORKS , Intake OK by: Date: Additional dotes: Intake Comments: )PW Worksheet Needed 1f i ,(� `�„p Wet et t\GVA‘ tntf, l]Sys Dev Eval OTraffic Mit Eval �/1yJ _I U`K �r/1N v� CISite Work or Drainage Proposed ; •Approved By: - Date: OBackflow Prevention for high hazard: i �_ — - l i(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT El 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 DOther. AND El 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: -11' A Separate PW Permit is Required(Permit#: PW 200 al- 03( ) ❑ Review of As-Built Plans-NO FIRE FEE i AND ,❑ Is located in this folder 'Minimal or No Fire Scope-NO FIRE FEE als 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: ,cobtx Date: J �Q El Public Works has no scope---PW Not Required Additional Notes: i ELECTRICAL ,Additional Notes: Approved By: Date: Approved By: A,\A Date: " .i