2312 W MUKILTEO BLVD 2023-06-22 - Laserfiche WebLink

• • Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# V)2-1 0(0— OO l BUILDING PLANNING , Intake OK by: Date: Intake OK by:at Assign To:�r e g. Date: (o1' �!/ 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 PK to Route to Other Departments Bldg/TI/Ad 9Rem 0 Hold in Planning File Drawer Garage/Accessory Struct.Size r --'S Zone P-JS Number of Stories / Overlay/Agreement Basement `No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 4d-C Residential Use &F j. Occupancy Group =2C Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El 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 ❑New Systemot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes ANo Additional Notes: VALUATION CALCULATION: Total$ /bfv80.0D Approved Byge> Date: (, /. 2,02,1 PUBLIC WORKS Intake OK by: . Date:_ ___ _ -.._.-..._.._. _. Additional Notes: Intake Comments: IPWWorksheetNeeded if: ❑Sys Dev Eval OTraffic Mit Eval I❑Site Work or Drainage Proposed Approved By: Date D� a ❑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/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously El 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 ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(loin with this folder for permit issuance) O 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: