3322 KROMER AVE 2023-05-26 - Laserfiche WebLink

Intake & Approval Sheet IS (FOR PERMIT STAFF ONLY) PERMIT # l W fl2-2-_� BUILDING Intake OK by: Date: rk_Ll Intake Comments: ❑ Route to Commercial Building Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size v4lie Garage/Accessory Struct. Size 4JP4 *{-z Number of Stories 3 Basement ®No ❑Yes , Fin / Unfin Type of Construction tgc, Occupancy Group tzcl Occupancy Load J tZL Fire Sprinklers: El Update Existing ❑New System IMNot Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System IM Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No Add'I RCW 64.55 docs required prior to final? ❑Yes No VALUATION CALCULATION: Total $ 5o��3a tot to �g7 = 4 4a0 looao 33 v Additional Notes: Approved By: Date: FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: ; Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE 5VIinimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: ate: —6 ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ ,45 Calculated: �j 5`6 Credit: 9& Brett School Dist ❑Mukilteo School Dist Additional Notes:Avw� �� ' Ok— f124 N1C. I,1.o(.o-w . Approved By: - " Date: BLIC WORKS Intake OK by: Date: Intake Comments: PW Worksheet Needed if.• ❑Sys Dev Eval ❑Traffic Mit Eval Mite Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, supportive housing) ..........._..,... .... ..... .................... _...................__..._._..._...._.._..........._........_....__.. ❑Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND Create Green Folder ❑Submitted Previously ❑Deferred T s Permit is Approved by Public Works PW Review Worksheet and associated attached items Yee Separate PW Permit is Required (Permit #: PW AND ❑ located in this folder 13� Is in a Separate Green Folder Coin with p � this folder for permit issuance) ❑ WIII be issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: 4&J Date: