1800 41ST ST 2023-04-10 - Laserfiche WebLink

I. • Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# V6 Zk 0 — 0A S BUILDING PLANNING Intake OK by: Date: Intake OK by6 Assign To: theiter. Date: M/7/0024 Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make thi _ " A " '-rmit 5/C 8S ❑ OK to Route to Other Departments Bldg/TI/A•. /Rem Size — Af'F ❑ Hold in Planning File Drawer 3 Garage/Accesso ' " ruct.Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction J7 Residential Use Occupancy Group /3 Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: NUpdate Existing ❑New System ❑NotReq'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: aUpdate Existing El New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes ❑ No El Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ / 000.04) ITLN 'te Approved By: pee, Date: (D/ /7L1 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: DSys Dev Eval OTraffic Mit Eval iOSite Work or Drainage Proposed Approved By Date 0Backflow Prevention for high hazard: _(dental,medical,animals,mortuary,hospital, ;supportive housing) _.._-FIRE DEPARTMENT 0 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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 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 0 Is located in this folder ❑ inimal or No Fire Scope-NO FIRE FEE El Is in a Separate Green Folder(join with this folder for permit issuance) 1,51 eview/Inspection Scope-ADD FIRE FEE El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: , tcc( jy\ Date: W l ,*ublic Works has no scope---PW Not Required Additional Notes: ELECTRICAL io �0 4-'�z Additional Notes: Approved By: Date: Approved By: Date: