1130 75TH ST SE 2023-08-08 - Laserfiche WebLink

Intake &Approval Sheet 0(FOR PERMIT STAFF ONLY) • PERMIT# 13 2.0(2-o I c 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 thi rmit IDOK to Route to Other Departments Bldg/TI/Addn/ Siz � � ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size ,rZD Zone Number of Stories / Overlay/Agreement _ Basement ONo ®Yes, Fin Unj Nonresidential Use Type of Construction Z-,tC Residential Use Occupancy Group ./LC Proposed No.of Dwelling Units: Occupancy Load 4, Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System rallot Req'd Planning/Landscape Inspection Required before Final? DYes ❑No Reason Sprinklers Required: - "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System RNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes ® No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes ®No Additional Notes: VALUATION CALCULATION: Total$ 7SJ00. DD Approved By: QC). Date: II IS PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ICISys Dev Eval ❑Traffic Mit Eval I❑Site Work or Drainage Proposed • DBackflow Prevention for high hazard: Approved By: Date:©�J �?/ :(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT El Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm DOther: _ AND OCreate Green Folder ❑Submitted Previously ODeferred Additional Notes: ❑This Permit is Approved by Public Works 'a ❑ 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 0 Is in a Separate Green Folder coin with this folder for permit issuance) 0 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: