1802 75TH ST SW 2023-05-31 - Laserfiche WebLink

I 10 / - Ci Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 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 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/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 42 3 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? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System allot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes INo ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes INo Additional Notes: VALUATION CALCULATION: Total $ /J J 1;7(1) Approved By: a(e' A/ e Date: DI 10 5120'-z PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: /*/9 q ,l 1erv-fl `❑Sys Dev Eval OTraffic Mit Eval [Mite Work or Drainage Proposed Approved Byer Date://>1,�� p<v'`� ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, isupportive housing) FIRE DEPARTMENT El 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: ❑ 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 ❑ 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: > - ;,, . 1 ZZ Approved By: Date: Approved By: Date: