1626 BAKER AVE 2023-12-06 - Laserfiche WebLink

Intake &Approval Sheet e (FOR PERMIT STAFF ONLY) • PERMIT# D2 t l( ^o 0( • 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 BIdgITI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Z.. t_ , Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use . Type of Construction • Residential Use ce.— Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: _ Fire Sprinklers: ❑Update Existing ONew System ❑Not Req'd Planning/Landscape Inspection Required befo Inal?lJYes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ukilteo School Dist _ Add!RCW 64.55 docs required prior to final? DYes ❑No Additional Notes: VALUATION CALCULATION: Total$ c Approved Bye s-- /' Date: \\0\� 2 t\ .. PUBLIC WORKS: Intake OK by: Date: Intake Comments: IPW Worksheet Needed if. Additional Notes: I boys Dev Eval ❑TrafficMit Eval IDSite Work or Drainage Proposed Approved By: Date (�/l j21 1IJBackflow 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 1 Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ; ❑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 ❑ 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 0 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: L