3314 W MUKILTEO BLVD 2023-06-22 - Laserfiche WebLink

• • Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#` J 2. 4 i 0 BUILDING PLANNING �' �✓ Intake OK by: Date: Intake OK by: Assign To: T tQ1 6. Date: Intake Comments: Intake Comments: Ne r hI cti h Prt vcre I arto l I G-Q--ha z.(A;94 r S, o 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 ddn/)em Size 1'4 it5dc ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone r S Number of Stories 2_ Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction .Z-./26 Residential Use Snit Occupancy Group . -fZ C 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: ❑Update Existing ❑New System EINot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes tg No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yeslo Additional Notes: VALUATION CALCULATION: Total$ 000,00 Approved By:G Date: (a'/ /2.ez_J PUBLIC WORKS / Intake OK by: Date: Additional Notes: Intake Comments: IPW worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved B G Date: v' I❑Backflow Prevention for high hazard: „�l� 6�/�%LrJ2/ €(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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously El Deferred Additional Notes: Isi This Permit isf4pp;pved by Public Works tgl v See'P1f4e' 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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Qi'vu U/lv�!/� 5� f!l*l CG,it/Cie OGzl y Additional Notes: 15 I f � �do.r S ark-ke?. 4ZI.- Approved By: Date: Approved By: Date: ii7,420z,/ �'-a