1827 WETMORE AVE 2024-05-03 - Laserfiche WebLink

• • Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#siSkCt ( 0-o BUILDING PLANNING Intake OK by (--- Date: 'O - (Q '` l Intake OK by: Assign To: Date: Intake Comments: Intake Comments: c �Ce `\`tom lej'' \ . ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 3A-.4 a ❑ Hold in Planning File Drawer {{ Garage/Accessory Struct. Size — Zone 1 - Number of Stories L Overlay/Agreement Basement No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction ugj Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load 3' Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ®Not Req'd Planning/Landscape Inspe ion Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ©Not Req'd School Impact Fee: otal $ Reason Fire Alarm Required: FF�� Calculated: Credit: ❑ �i 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? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total$ 1-5, aDo Approved By Date: LQ. \C, ZO1Q `CC PUBLIC WORKS Intake OK by: Date: • Additional Notes: Intake Comments: lPW Worksheet Needed if: P,ZOor2�`?A.(iS i❑Sys Dev Eval ❑Traffic Mit Eval N.0 -?1r-% S Cr,-J s❑Site Work or Drainage Proposed Approved By: Date: I =❑Backflow Prevention for high hazard: ��/ �l 9 (dental,medical,animals,mortuary,hospital, 1I '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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works 0 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 15 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: K,E i G w ri Date: /7-5-if ❑ Public Works has no scope--- PW Not Required Additional Notes: is /t o I!c1 ELECTRICAL 1 I Additional Notes: Approved By: Date: Approved By: Date: