1031 51ST PL SW 2023-06-23 - Laserfiche WebLink

• • Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# B2t n 2 -b(0 2._- 1 BUILDING PLANNING s Intake OK by: Date: Intake OK by: Assign To:fl I #t T Date: _4 Intake Comments: Intake Comments: (.' �I�(o s'i Pi. sWilb (0 .,. ❑ Route to Commercial Building Attach to Project No. gg �/ T 2,o-0t 4 f ❑ Route to Residential Building �0-/a) -- El Route to Historic Reviewer ❑ Make this a"W"Permit � 0 OK to Route to Other Departments c. IBIB dg TI/Addn/Rem Size 770? 7 47 / ❑ Hold in Planning File Drawer Garage/ ccessory Struct. Size rod ,/ Zone Number of Stories vX Overlay/Agreement Basement �No ❑Yes , Fin/Unfin Nonresidential Use , Type of Construction Zr1-C` Residential Use Occupancy Group 12-(. Proposed No. of Dwelling Units: Occupancy Load T/2-� Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New SystemNNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: El Update Existing El New System DNot 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 docs required prior to final? El Yes L_7No Additional Notes: VALUATION Total CALCULATION: $ ,}`io2 �d`1 017a7 �" J ,'2 � t � ., Il; l + 7Ct `#/d Approved By: Date: 3/6 3330,2 -4 ffi 030 `r 7, raw PUBLIC WORKS jttc:2) c7 ,3 Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: /-.lj�� Date: Tk.:-/?/ ❑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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 14 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 2 io4- )3 et ) ❑ Review of As-Built Plans-NO FIRE FEE AND gl-is located in this folder '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:14,? j(A}C1 Date: 'J -9 ,2 J ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved G- By:v 6 7 Date: d 4/`2`�;` r IL