732 93RD ST SE 2023-12-11 - Laserfiche WebLink

Intake & Approval Sheet � (FOR PERMIT STAFF ONLY) PERMIT# 1J2 o2 O 3 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 Bldg/TI/Addn/ ee ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Tire' 5 Zone d Number of Stories / Overlay/Agreement Basement ,13No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use u,� fh'n,� '13,1AC Occupancy Group Proposed No. of Dwelling Units: Occupancy Load ---- Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System NNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes 'lo 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: Calculated: __ Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes tit LL�� No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 1z=tNo Additional Notes: VALUATION CALCULATION: Total $ 00. J 0 t C5 S, --S -23 Approved By: 1% Date: 7. 14 a� UBLIC WORKS. Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval f� r„ El Site Work or Drainage Proposed pp y.�L. %4>� / L ❑ ackflow Prevention for high hazard: Approved B U�1 ,��... , Date: 2�/y�Z (dental,medical,animals,mortuary,hospital, 'supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: OThis project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously Cheered Additional Notes: 521 This Permit is Approved by Public Works LaSee 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: Date: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: LweDate: i