902 110TH PL SE 2024-06-14 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# I3 2 1 O-3-0 03 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/A n/item. ize ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size A/4 Zone -- Number of Stories Z Overlay/Agreement Basement No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use PVCAN Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Fin- = •-s ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: • .unt$ Fire Alarm: El Update Existing ❑New SystemiNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: �a Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes rI No ❑Everett School Dist Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 21lNo Additional Notes: VALUATION CALCULATION: Total$ 39-1 DU Approved Date: 2zt PUBLIC WORKS Intake OK by: . Date: P A/tr -e 7"�"3 .ol Intake Comments: Additional Notes:dlnz` j `PW Worksheet Needed if: A Alf F8/,i r Wt/ 76il- ' b S)/?,zozL <'�,�,( 'cd atau ;PSG , =DSys Dev Eval ❑Traffic Mit Eval 1`__ E Site Work or Drainage Proposed Approved p.}i ), j.- Date l/VZ/OY ❑ Prevention for high hazard: '`\ / • (dental, ackflow medical,animals,mortuary,hospital, J 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 ❑ See PW Review Worksheet and associated attached items Fire Dept.Fees: ig A Separate PW Permit is Required(Permit#: PW/-246'60(49 ) ❑ 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(loin 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: ' Works has no scope---PW quired Additional No • ELECTRICAL /_ l Additional Notes: oil 0{� Approved By: Date: Appr d By: Date. 0 5 a.Z) 1-1) HA AN 2.(2.