11021 1ST AVE SE 2023-05-22 - Laserfiche WebLink

• • Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# D 2.2 CAS"ccej BUILDING /��,n, PLANNING Intake OK by: �� Date: ✓ / `�Z Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. IRt Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size C�®0 5-f Pax-- ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement PNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use (310Ctilt"e4i Occupancy Group Proposed No.of Dwelling Units: —' Occupancy Load GG Total No.of Dwelling Units: Fire Sprinklers: ❑update Existing ❑New System llot Req'd Planning/Landscape Inspection Required before Final? ❑Yes)No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System IRNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? oyes ta No ❑Everett School Dist ❑Mukilteo School Dist Add?RCW 64.55 dogs required prior to final? ❑Yes I No Additional Notes: VALUATION CALCULATION: Total$ 35 A9 0 A ere Gub Nieol Approved By: �/ r Date: 5,�� ZZ UBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: PW Worksheet Needed if:: ;OSys Dev Eval OTraffic Mit Eval OSite Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: X* Date: Q 5724/2402 . _(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: IWThis Permit is Approved by Public Works IX8ee 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 Additional Notes: Approved By: Date: Approved By:A— ei✓" Date: