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811 94TH ST SE 2024-06-25
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811
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811 94TH ST SE 2024-06-25
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Last modified
6/25/2024 9:37:29 AM
Creation date
5/16/2024 3:18:46 PM
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Address Document
Street Name
94TH ST SE
Street Number
811
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Intake &Approval Sheet i (FOR PERMIT STAFF ONLY) • PERMIT# Z Gt/"b 6 <br /> BUILDING PLANNING- <br /> Intake OK by: Date: Intake OK by: Assign To: Date: <br /> Intake Comments: Intake Comments: <br /> ❑ Route to Commercial Building ❑Attach to Project No. <br /> ❑ Route to Residential Building ❑ Route to Historic Reviewer <br /> ❑ Make this a"W"Permit ❑ OK to Route to Other Departments <br /> Bldg/TI/Addn< 5.2e ❑ Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size ygy Zone <br /> Number of Stories r Overlay/Agreement <br /> Basement jarvo ❑Yes, Fin/Unfin Nonresidential Use . <br /> Type of Construction Residential Use AH' <br /> Occupancy Group Z Proposed No.of Dwelling Units: <br /> Occupancy Load .. Total No.of Dwelling Units: <br /> Fire Sprinklers: ['Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? ['Yes grNo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: DUpdate Existing ['New System lot Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes OsiNo ❑Everett School Dist ❑Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ['Yes No Additional Notes: <br /> VALUATION CALCULATION: Total$ i%aaa!X•7 <br /> Approved By: Date: IZ , Z� <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: JPW Worksheet Needed if: <br /> DSys Dev Eval ❑Traffic'Mit Eval <br /> • <br /> %DSite Work or Drainage Proposed <br /> Approved By „.„..-7 Date: 3 % T l]Backflow Prevention for high hazard: <br /> _(dental,medical,animals,mortuary,hospital, <br /> !supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> ['Fire Sprinklers ['Fire Alarm ['Other: AND ❑Create Green Folder ['Submitted Previously ❑Deferred <br /> Additional Notes: ❑This Permit is Approved by Public Works <br /> ❑See PW Review Worksheet and associated attached items <br /> Fire Dept.Fees: ❑A Separate PW Permit is Required(Permit#: PW <br /> ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder <br /> ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit Issuance) <br /> ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW Issued ahead of Bldg) <br /> Approved By: Date: ❑ Public Works has no scope--- PW Not Required <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br />
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