320 S CABOT RD 2023-01-26 - Laserfiche WebLink

• S (� (FOR PERMIT STAFF ONLY) Intake & Approval Sheet l� PERMIT# BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ; ❑ Make this a"W" Permit ❑ OK to Route to Other Departments j Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement _ Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwell' g Units: Occupancy Load Total No. of Dwellin• Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Lands•-pe Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: pe: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Imp. t Fee: Total $ Reason Fire Alarm Required: Calcula ed:_ 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 ❑No Additional Notes: VALUATION CALCULATION: Total$ kisAkst S1�� - �opd�� V�.�f SF lr‘CLw Approved Date: O`"A.20`9 PUBLIC WORKS Intake OK by:'n4 Date: .5/-i I Zo i 9 Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval DSite Work or Drainage Proposed Approved By: Date: ❑Backflow Prevention for high hazard: (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: ❑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(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 / 1 zo,9 Additional Notes: Approved By: Date: Approved By: Date: