1711 125TH PL SE 2024-11-15 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) 0 PERMIT #Z 2JCk ` — �� BUILDING Intake OK by: Date: Intake Comments: 11 Route to Commercial Building ❑ Route to Residential Building 11 Make this a "W" Permit Bld / ddn/Rem Size Sao Garage/Accessory Struct. Size ABC' Number of Stories % Basement ❑No ❑Yes , Fin / Unfin Type of Construction 7f /ZL' Occupancy Group Occupancy Load Fire Sprinklers: [:]Update Existing ❑New System ONot Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System MiNot Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes No T� Add'I RCW 64.55 docs required prior to final? ❑Yes .5No VALUATION CALCULATION: Total Additional Notes: Approved B %- FIRE DEPARTMENT Intake: (Needed for Townhomes, Alley load SFR, New Commercial) ❑Route to Fire Drawer --- Fire Preliminary Review Notice ❑Sending Fire Notes to Project Team Date: (OK to Route to Other Departments) Fire Sprinklers: ❑Update Existing ❑New System ❑ Not Req'd Fire Alarm: 0Update Existing ❑-•ttNew System ❑ Not Req'd Chemical Sup: 0Update Existing t_iNew System ❑ Not Req'd Additional Notes: Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Date: J117S Intake Comments: Assign To:A& ❑ Attach to Project No. ff'Route to Historic Reviewer OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use O ryj,j Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By: &tfl>Date: 1 Q 7 M?i1 PUBLIC WORKS Intake OK by: Date: ..................................................................................................................................... Intake Comments: PW Worksheet Needed if. i ❑Sys Dev Eva ❑Traffic Mit Eval USite Work or Drainage Proposed ❑BackfloW Prevention for high hazard: (dental, medical, animals, mortuary, hospital, 'supportive housing) . ............................................................ .......... [--]Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND [Create Green Folder []Submitted Previously []Deferred ' fhis Permit is Approved by Public Works See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder Is in a Separate Green Folder (join with this folder for permit issuance) WIII be Issued separately (Separate Green Folder, PW issued ahead of Bldg) Public Works has no scope --- PW Not Required Additional Notes: Approved By,�1049rkDate: 7 L - 1W (c)Iz&t U Z-4