1313 75TH ST SW 2023-12-11 - Laserfiche WebLink

Intake & Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# ?2,10g -`� BUILDING PLANNING Intake OK by: Date:` , �'3� 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 Bldg/TI/Addn/Rem Size 4-t3c.oD Tk" ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone Number of Stories Overlay/Agreement Basement giNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load _ Total No.of Dwelling Units: _ Fire Sprinklers: El Update Existing [hew System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑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? Oyes No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes JEINo Additional Notes: 4-4)-- "'d't_ VALUATION CALCULATION: Total 11 l Two }q .QXi-jtirv�J D\a tiJr eta PO ?M — Ft s Duu_ Approved By: Date: q•70, PUBLIC WORKS Intake OK by: Date: 'Z. `t u 1-L- Additional Notes: ��v t rZ�c� �a�- Intake Comments: I PW Worksheet Needed if: Additional by,/ ONL`i El Sys Dev Eval ❑Traffic Mit Eval i Ja i-•oa-- ao Scoce I❑Site Work or Drainage Proposed Approved By: c`� Date: 1 t/2,BJR-o?.J-� !❑Backflow Prevention for high hazard: / J ;(dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT DRoute 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 OSubmitted 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 (join 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: ��6,5;3L4i Date:/ 7 -4 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING / Additional Notes: L Approved By: Date: Approved By: Date: