804 91ST PL SE 2024-04-12 - Laserfiche WebLink

iliflA Intake &Approval Sheet R PERMIT STAFF ONLY) '�IRMIT# 2-11 I -0 Zil BUILDING PLANNING • Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: • Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg(fl/Addn/Rem Size a0197 0 Hold in Planning File Drawer Garage/Accessory Struct.Size 6t 70 Zone Number of Stories o4 Overlay/Agreement Basement PINo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Eic_ari Residential UseOccupancy GroupProposed No.of Dwelling Units: Occupancy Load ,vrA--- Total No.of Dwelling Units: I Fire Sprinklers: ❑Update Existing ❑New System 1Wiot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ,1No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New SystemNot Req'd School Impact Fee: Total $ - Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes t=.1vs No ❑Everett School Dist Agli.24).❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes TIN° Additional Notes: 5„ -,�;' o_k 01'- VALUATION CALCULATION: Total$ / UO0 I -�/`e645 Approved By: N'Wet,4 Date: Z �L(.ZZ, BLIC WORKS Intake OK by: . Date: _ Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: l_:� Dater 4 ❑nackflow Prevention for h(gh 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND OCreate 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: 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 Uoin 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: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: