2216 127TH PL SE 2023-04-07 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# V 22&LI—Mc- 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"W"Permit ❑ OK to Route to Other Departments Bidg/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 Dwelling Units: _ Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? Oyes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ __ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No El Everett School Dist ❑Mukilteo School Dist Add'RCW 64.55 docs required prior to final? ❑Yes El No Additional Notes: VALUATION CALCULATION: Total$ Approved By: Date: PUBLIC WORKS IntakeOK by: . Date•...-..-........-... ........w....-.....-.-.-...w-.•......-........-..... Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: ❑Backfiow Prevention for high hazard: (dental,medical animals,mortuary,hospital, supportive housing) s-m FIRE DEPARTMENT DRoute 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: IlfThis Permit is Approved by Public Works IlEr-See PW Review Worksheet and associated attached items Fire Dept.Fees: 0 A Separate PW Permit is Required(Permit#: PW ) ❑Review of As-Built Plans-NO FIRE FEE AND 0 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: 1, j X`b(.c_)el Date:53�z ❑ Public Works has no scope—PW Not Required Additional Notes: ELECTRICAL ( I'"'` f"`aQft,..4.� A ovtio 1)C 4J1_4 124 ir�� Additional Notes: Approved By: Date: Approved By: e: 5/3 f Z,4,Z,-t.