620 10TH ST 2023-06-22 - Laserfiche WebLink

Intake & Approval Sheet (FOR• PERMIT STAFF ONLY) S PERMIT# .67262 -OZ 1 Pp LDING `7' r PLANNING Intake OK by: fre Date: G!/ 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 Bldg/TI/Addn/Rem Size /,.)+ 7 4F 4 ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone Number of Stories / _ Overlay/Agreement Basement 13INo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction I/--,�j Residential Use Occupancy Group V Proposed No. of Dwelling Units: Occupancy Load /4 1,�'� Total No. of Dwelling Units: Fire Sprinklers: ID Update Existing El 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 ❑New System aot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ,�Ij No Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ,ICJNo Additional Notes: VALUATION CALCULATION: Total$ (1( 4:'/7 1 7r q / Approved By y\��c C �IInn Date: j i J z 9 r1 .�l / ./,..? 617e- PUBLIC WORKS /.... }.--------- Intake OK by: Date: Additional Notes: Intake Comments: 1PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: 2_1...... ----- Dater 602), I❑Bt7kflow Prevention for high hazard: (dental,medical,animals,mortuary,hospitl, '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 El Deferred Additional Notes: ❑This Permit is Approved by Public Works V) \not v,,/ T. Li ❑ 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 , 414)07- - Approved By: Date: Approved By: Date: c777)