9512 HOLLY DR 2023-06-22 - Laserfiche WebLink

`t�,rIs� c s Intake &Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# tacao5 Olt' BUILDING . , , . PLANNING • . • • • )) Intake OK by: Date: P(31 Intake OK by.'.1qq / Assign To: Date: 10/?f/ Intake Comments: I(��/� n Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. la Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Adds em Size In 2 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories 'I Overlay/Agreement Basement 121No ❑Yes, Fin/Unfin Nonresidential Use . Type of Construction 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 ONo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System IKNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.56 MF worksheet req'd for permit? ❑Yes ®-No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes lNo Additional Notes: VALUATION CALCULATION: Total$ ZS,6c t J 0 ,Kt r �e&5 Approved By: A Date: (Z/L Z G az_ PUBLIC WORKS'' Intake OK by: Date: Additional Notes: Intake Comments: iPW Worksheet Needed if: !❑Sys Dev Eval ❑TrafficMit Eval `]Site Work or Drainage Proposed. Approved By: �Q'� , Date: II 1;61- 'j,�. 1]Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm ❑Other: AND OCreate Green Folder ❑Submitted Previously ❑Deferred Additional Notes: El This Permit is Approved by Public Works ❑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 coin 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: Date: