2702 BROADWAY 2022-12-30 - Laserfiche WebLink

Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# 0(9f� 'd a BUILDING PLANNING / Intake OK by: Date: i 0'I I (.P (41 Intake OK by:U-- Assign To:f Date: 10t(0//1 Intake Comme 1 Intake Comments: \iffilc i ryie-fro IT-1-f regv,(timer-IS. ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit Vi OK to Route to Other Departments Bldg/TI/Ad.. 'em Si • / ' c SP ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size / ,/� Zone WV 1 Number of Stories / Overlay/Agreement Basement PNo ❑Yes, Fin/Unfin Nonresidential Use J.e 5 I a.iiAA,-II" Type of Construction V,I, Residential Use Occupancy Group A-L Proposed No.of Dwelling Units: --- Occupancy Load /G Total No.of Dwelling Units: — Fire Sprinklers: ❑Update Existing ❑New System pNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lie "Fee:Type: Amo Fire Alarm: ❑Update Existing El New System ElNot Req'd School Impact Fee. otal $ Reason Fire Alarm Required: Calculated: edit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No ❑Ever cool Dist ❑Mukilteo Schoo Add'I RCW 64.55 docs required prior to final? //❑Yes ®No Additional Notes: VALUATION CALCULATION: Total$ lbd 06042 Approved By: vv-4� Date: lz/f Q / /1 PUBLIC WORKS Intake OK by: Date: LOJfo/201 q Additional Notes: Intake Comments: PW Worksheet Needed if: /V oN, Oil- kthi k. IDSys Dev Eval ❑Traffic Mit Eval ^- OALT, :Site Work or Drainage Proposed Approved Iv t} � ` =DBackflow Prevention for high hazard: A ppDate: `'' / i 9' KO PW &NE ;(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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: El 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 ❑ ',lima'or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Ap roved By: Date: Public Works has no scope---PW Not Required ddl final Notes: ELECTRICAL Additional Notes: / / Approved By:)(� t3� Date: lk \Z4 Approved By:, k__, Date: GU// /2*? - c(' -� 2-/z_