1710 MAPLE ST 2023-09-26 - Laserfiche WebLink

Intake &Approval Sheet •OR PERMIT STAFF ONLY) OERMIT# 5Z2O Lf-0 2 3 //�� BUILDING PLANNING • ' . . . " Intake OK by: kV/ Date: ,l c 1I41122 Intake OK by u / Assign To: Date: ` 114L/j2Z Intake Comments: Intake Comments: Aotovitt- o P W 1-t c- 6vIrttoC1 Lail,I- ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments BldgiTl/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone V—"2. Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use . Type of Construction PZ C. Residential Use ,� 12. Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Pt Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System I4Not Req'd Planning/Landscape Inspection Required before Final? DYes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: CI Update Existing ❑New System ref Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 13 No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes El No Additional Notes: VALUATION CALCULATION: Total$ 9O . 1—AV A ITIN41,41 q/iLei Approved By: Date: • PUBLIC WORKS, Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: DSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed. Approved By: 12iE. Date: Mg/202,1 ;OBackflow 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 I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) CI Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ; ❑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 Coln 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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: