3902 FRIDAY AVE 2023-04-06 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# �2,Zi-O`�O 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 ❑ Route to Historic Reviewer ❑ Make this a" " e CI OK to Route to Other Departments Bldg/TI/Add Rem Size f/7 ct ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories /(1/14/'A" Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction yp ��, Residential Use Occupancy Group Proposed No.of Dwelling Unit : Occupancy Load Vr� Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System Jot Req'd Planning/Landscape Ins ection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: CI Update Existing ❑New System inNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑ IYes No ❑Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑ y Yes gNo Additional Notes: VALUATION CALCULATION: Total $ ,� t?0 Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Workshee eeded if: ❑Sys Dev • al ❑Traffic Mit Eval ❑Site W� k or Drainage Proposed Approved By: Date: T of �;, ❑Bac• low Prevention for high hazard: (den .,medical,animals,mortuary,hospital, su..ortive housing) FIRE DEPARTMENT ❑Route this folder for PW Review . end --- PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separat: concurrent PW Review (Green Folder) ❑Fire Sprinklers ❑Fire Alarm a Other: AND ❑Create Green Folder Pa Submitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved b, Public Works ❑ See PW Review Works,eet and associated attached items Fire Dept. Fees: ❑ A Separate PW Per t is Required (Permit#: PW ❑ Review of As-Built Pla -NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire S..pe- NO FIRE FEE ❑ Is in a Separate Green Folder (join with this folder for permit issuance) ❑ Review/Inspectio 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: LECTRICAL/PLUMBING Additional Notes: Approved By: Date: Approved By: Date: