325 109TH PL SE 2023-06-27 - Laserfiche WebLink

• Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 2Z0 I " 0 1-4- BUILDING 9 /�,� PLANNING 1` Intake OK by: -`� Date: �l/ LV (7O/��, Intake OK by: (/1J Assign To: Date: 2- //I22 Intake Comments: Intake Comments: r i -'0 t2 ( EZ r-e.12-- A pu.t_"r j I L) ❑ Route to Commercial Building c ❑Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit to to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories f Overlay/Agreement Basement EKINo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction -F _ Residential Use v H- jl,>f'�1+t it,7040 Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing El New System JNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System SNot 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 dots required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total$ 5-4)/049 ' Approved By: / ig Date: 2_/3/22., PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: iipW Worksheet Needed if: i❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: !44 Date: 2-/Malin ❑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: VI This Permit is Approved by Public Works .10 See PW Review Worksheet and associated attached items Fire Dept.Fees: ' A Separate PW Permit is Required(Permit#: PW23-03"01I ) ❑ Review of As-Built Plans-NO FIRE FEE AND gi 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: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: -th,4 U .l1bl(YV161M_Date: 03 I I 1 ZD2l,