323 75TH ST SE BLDG B 2023-07-31

Intake &Approval Sheet ' (FOR PERMIT STAFF ONLY) I PERMIT# (3ZZOco 0(0 2- BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: 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 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement El No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 1.43 Residential Use Occupancy Group g-'' Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System NNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing DI New System ONot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 14 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final?,.-y❑Yes 1 ' '' No Additional Notes: l4 'y.e - o € is r%15(t VALUATION CALCULATION: Total$J �/ .7y _ ,(��„r�` `1 / 4 dt U�\v_ Th Approved By: it.--, Date: � ' 7 7 BLIC WORKS Intake OK by: 7 pi Date: 4.912S/tatZ— Additional Notes: Intake Comments: PW Worksheet Needed if: ij0 iw,/ 5 C. ea- I DSys Dev Eval OTraftic Mit Eval I❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By:eAc �% Date:O//yA Z... (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute 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 ►�i Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: th) SGO/v& • ❑ 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 _ ) ❑ 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/I ection Scope-ADD FIRE FEE ❑Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By Date: e,--`j//�z6L1.._ lia-Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional es: >4��i��L✓ ' (Q /L8/ze t---_ Approved' Date: Approved By: Date: