2305 127TH PL SE 2023-12-11 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) 4111 PERMIT#�.7-2( \g `1 BUILDING' PLANNING Intake OK by: MR Date: q/z/2a7z7-- Intake OK by: ��'f- Assign To. "i '--L', Date: Intake Comments: Intake Comments: ❑ 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 Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction IQ..C- Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load le— - Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System EiNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing ONew System &Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: r Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes in No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total $ 5j CjC � r, Approved By: _ ' Date:;4 PUBLIC WORKS Intake OK by: Date: $18.2.0 LL Additional Notes: Intake Comments: I PW Worksheet Needed if: FIELD Vi PY £ 4k r-AA 1641E-11^° 411' 10Sys Dev Eval ❑Traffic Mit Eval e-Etw0 O 4-e- ,13—La r4-0 B E I �.. Sc,�-<- k4b 10Site Work or Drainage Proposed Approved By: 44 Date: /2/7O'_Z �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: 0 This Permit is Approved by Public Works 0 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 0 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 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ublic Works has no scope--- PW Not Required Additional Notes: ELECTRICAL ]-�, &j!,/ L_t Additional Notes: Approved By: Date: Approved By: Date: