9 74TH ST SW 2024-08-06 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# r? \ 1 n BUILDING PLANNING Intake OK by: ' Date: Iola e /'t°I Intake OK by:, Assign To: Date: /0'26 I Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. 13 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 0 Hold in Planning File Drawer Garag Accessory truct. Size '/S c,Jt Zone - Number of Stories ( Overlay/Agreement Basement 'No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction EP Residential Use Occupancy Group u Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System "Not Req'd PPPPLnning/Landscape Inspection Required before Final? ❑Yes 0/No Reason Sprinklers Required: "In Lie-se-Fee:T ripe: Amount$ Fire Alarm: ❑Update Existing New System jNot Req'd School Impact Fee: o Reason Fire Alarm Required: rti Calculated: Credit RCW 64.55 MF worksheet req'd for permit? ❑Yes 12 No ❑Everett- c ool Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes INo Additional Notes: VALUATION CALCULATION: Total $ 291 s ZO Approved By: Date: �l j'7 / Z Z PUBLIC WORKS Intake OK by: Date: :........................................................................................................................................... Additional Notes: ',etc Intake Comments: IPW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: Date: II hi hi _(dental,medical,animals,mortuary,hospital, !supportive housing) FIRE DEPARTMENT DRoute 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 I16LSee PW Review Worksheet and associated attached items Fire Dept. Fees: I2-A Separate PW Permit is Required (Permit#: PW �`r l Z - CZ q ❑ Review of As-Built Plans-NO FIRE FEE AND q Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 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 B . Date: /Z 204