3004 W MARINE VIEW DR 2023-06-22

Intake &Approval Sheet ( R PERMIT STAFF ONLY) •RMIT# 5 7iZ0 -- 07v BUILDING PLANNING Intake OK by: Date: Intake OK by: . Assign To:AS Date:cla S 22• Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ oute to Historic Reviewer ❑ Make this a"W" Permit OK to Route to Other Departments Bldg/II/Add Rem Siz /68J 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone V te-z-f Number of Stories Z Overlay/Agreement Basement El No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction =',_C Residential Use SF IL Occupancy Group -/l-C Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑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 ONew System(Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes .ZI No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes —RNo Additional Notes: VALUATION CALCULATION: Total $ ,j tG�c so Approved By:/ A A b Date: Co / Z 61/Z Z PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if.� � DSys Dev Eval ❑Traffic Mit Eval =DSite Work or Drainage Proposed Approved B Date 6/ 1/' oL� DBackflow Prevention for high hazard: l(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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ 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 0 Minimal or No Fire Scope-NO FIRE FEE 0 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: k`'ublic Works has no scope--- PW Not Required Additional Notes: . ov C2 c,G 5't-, -7A-inv' ELECTRICAL/PLUMBING Mo w-1 Sec:Pe Additional Notes: to 14-(Zd?4- Approved By: Date: Approved.By: Date: