1924 WETMORE AVE 2023-07-28 - Laserfiche WebLink

• i Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#�2— a '`0 23 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: 11 4.5 Date: I I,-) /2-1 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 'OK to Route to Other Departments Bldg/TI/Addn/Rem Size L - ' ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size ,�'�(,1 g Zone —2— Number of Stories I -f•iaT1/C_ Overlay/Agreement Basement afilo ❑Yes, Fin/Unfin Nonresidential Use `�— Type of Construction r Residential Use Occupancy Group L) Proposed No.of Dwelling Units: Occupancy Load 14 i16 Total No.of Dwelling Units: I Fire Sprinklers: El Update Existing ❑New System OrNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes--No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ / Fire Alarm: ❑Update Existing ❑New System Mot Req'd School Impact Total $ Reason Fire Alarm Required: Calculat . Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes l No ❑ erett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑ I Yes �No Additional Notes: VALUATION CALCULATION: Total$ .7' !, -Ci � 017 x � Approved By: aig Date: �l 1 /?�7�J �i PUBLIC WORKS / 3,3' ��v Intake OK by: Date: dditional Notes: Intake Comments: _PW Worksheet Needed if: i❑Sys Dev Eval OTraffic Mit Eval i❑Site Work or Drainage Proposed Approved By: Z Date: p2/`,f C ❑Backflow Prevention for high hazard: �� :(dental,medical,animals,mortuary,hospital, isupportive housing) FIRE DEPARTMENT El 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 El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: This Permit is Approved by Public Works Li See PW Review Worksheet and associated attached items Fire Dept. Fees: EIA Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND Eils located in this folder M 0 3"°S S ❑ 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: Pt Date: 7-.5 9 2 t