1820 OAKES AVE 2023-12-08 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) I PERMIT# j 22 p j- BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: f'lt5G4 r Date:3/I1I 4 - 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/Addt- m_e 0 Hold in Planning File Drawer Garage/Accessory Struct. Size /V d Zone P-Z. Number of Stories r Overlay/Agreement Basement EINo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction �� Residential Use ,�F 1- Occupancy Group �f Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing New System-EINot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes LI No ❑Everett School Dist ❑Mukilteo School Dist Add'I ROW 64.55 docs required prior to final? ❑Yes EINo Additional Notes: VALUATION CALCULATION: Total $ 0i9 Approved By: Date: 3//4/ .az PUBLIC WORKS Intake OK by: Date: Intake Comments: Additional Notes: PW Worksheet sheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval OSite Work or Drainage Proposed Approved B Date:G/O pe97 ❑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) OFire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 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: