3409 FEDERAL AVE 2023-12-07 - Laserfiche WebLink

• Intake &Approval Sheet (FOR PERMIT STAFF ONLY) . PERMIT# 2-t(A -t I I BUILDING � PLANNING Intake OK by: Date: Intake OK by:// f Assign To: Date: Intake Comments: Intake Comments: (0ae.G-f-k1 1e Rrii— q' 2 ' 2°2. ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make thi ermit ElOK to Route to Other Departments Bldg/TI/Add 0 Hold in Planning File Drawer Garage/Accessory Struct.Size 'V 0 Zone j- I Number of Stories 2 PA Yes Basement ❑No EYes, Fin/Unfin Nonresidential Use Type of Construction -n C Residential Use 5 -- Occupancy Group roc Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: QJ\e_ Fire Sprinklers: El Update Existing Mew System [ENot Req'd Planning/Landscape Inspection Required before Final? ❑Yes El No Reason Sprinklers Required: "In Lieu"Fee:Type: Amou Fire Alarm: ❑Update Existing El 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 t9 No ❑Everett School Dist Mukilteo School Dist Add'I RCW 64.55 dots required prior to final? ❑Yes tiNo Additional Notes. VALUATION CALCULATION: Total$ /Zj ODO,o to ApprovedB': Date: 3 ' ZC79 L PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: ;PWWorksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved B Date:/Z//pw1At._ ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) n ............. 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) OFire 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: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: '/Z