1919 112TH ST SW 2024-02-27 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) II PERMIT#M«(}Ct—CA 4- 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 0 Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size El Hold in Planning File Drawer ^ Garage/Accessory Struct. Size Zone \Z. Number of Stories Overlay/Agreement Basement ❑No ❑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: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Requir efore Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ['Update Existing El New System El 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 ❑Mukilteo School Dist Add.]RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: \\ _ ` VALUATION CALCULATION: Total$ W �0 k M CxS� �30 SRO` e,,„\,,,Q ,� aS Approved B Date: CI `cam •Vq PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: I PW Worksheet •eded if: I❑Sys Dev ? ❑Traffic Mit Eval El Site W: k r Drainage Proposed Approved By: Date: +9. 3 0BaR to Prevention for high hazard: I` i(de-al, -dical,animals,mortuary,hospital, s .ppo•ive housing) E DEPARTMENT El Route this fold for PW Revie, at nd ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a sep. t- oncurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Fold: A Submitted Previously ['Deferred Additional Notes: � ❑This Permit is Approved •y Public Works ❑ See PW Review vyiS sheet and associated attached items Fire Dept.Fees: ❑ A Separate PW4° rmit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is loca ,d in this folder A" El Minimal or No Fire Scope-NO FIRE FEE El Is irr:Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ ,, be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Pubji% orks has no scope---PW Not Required Additi 4 al Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 4-