626 WETMORE AVE 2023-06-23 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 2- 245 c—c 8 6 BUILDING : PLANNING . • •- . Intake OK by: 1t`t Date: 7// /f l/2L2 Intake OK by: Assign To:'&(€ 6 Date/2/2 ?_ 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 K to Route to Other Departments Bldg/TI/Addn�Fm, ze Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories I Overlay/Agreement Basement i INo n Yes, Fin/( Nonresidential Use - Type of Construction Residential Use SFr- Occupancy Group Proposed No.of Dwelling Units: Occupancy Load T-- ' Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System 4S.Not 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 ISINot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes e No El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ 1 ' Approved By: Date: /Z/'Zp , PUBLIC WORKS'• Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: IEISys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: ,e ., Date: "VI V21/3Z2 I DBackflow 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 l 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: ; ❑This Permit is Approved by Public Works 0 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(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: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 4-