617 LEGION DR 2024-02-14 - Laserfiche WebLink

• •Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#VS 210q —04 CO BUILDING PLANNING Intake OK by: Date: Intake OK by�"X> Assign To:TtINa'4.P, Date: c- "22-1 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 ,iStOK to Route to Other Departments Bldg/TI/Ad /Rem Siz; ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size V _,- Zone P"--- Number of Stories / Overlay/Agreement Basement ElNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction aCZZ -X-,C. Residential Use ,cj- g- Occupancy Group /2-C--- Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System pNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes El No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: El 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? ❑Yes No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? El No Additional Notes: VALUATION CALCULATION: Total$ S v c7 dG Approved By: 6'1) Date: N 6/�j� PUBLIC WORKS, "`�� 111 Intake OK by: Date: Additional Notes: Intake Comments: !PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved B .2 - Date: 07/Z s %-e i'_ (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) El Fire Sprinklers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted 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: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: r'1