810 33RD ST 2024-11-07 - Laserfiche WebLink

Intake & Approval Sheet •(FOR PERMIT STAFF ONLY) 0 PERMIT# -Fab( 0-03 BUILDING PLANNING Intake OK by: Date: Intake OK by: ( b1� Assign To:4t,IN�C)4, Date: 1OP-3M _ Intake Comments: Intake Comments: Na7 re_o v t rept? , t .wars -v1 -e_4,--t-( -to (ALEOh bws q{4 . ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ oute to Historic Reviewer ❑ Make this a"W"Permit El to Route to Other Departments ddn/Rem Size El Hold in Planning File Drawer Garage/ cessory Struct.Size ALL t Zone (-- Number of Stories / Overlay/Agreement Basement EiNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction (%r Residential Use Occupancy Group U Proposed No.of Dwelling Units: Occupancy Load /A Total No.of Dwelling Units: I . Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yeso Reason Sprinklers Required: "In L eu"Fee: •e: Amount$ Fire Alarm: ❑Update Existing ONew System Not Reqd Sch oI Imp.,ctF--: rota $ Reason Fire Alarm Required: Cale late.. • edi'. RCW 64.55 MF worksheet req'd for permit? ❑Yes 2No ❑Ev r- School •rt r Mukilteo school ist Add'I RCW 64.55 docs required prior to final? ❑7Yes 'lo Additional Notes: / VALUATION CALCULATION: Total$ l CVO Approved By:4 Date:1/io/x2- PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: iPW Worksheet Needed if: dam,�57J lia_ ? Gtop 6 ' I❑Sys Dev Eval ❑Traffic Mit Eval. 1`-�i` N I €❑Site Work or Drainage Proposed Approved By e Date: 7/1�� / I❑Backflow Prevention for high 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: AN' ❑Create Green Folder ❑Submitted Previously ❑Deferred 1 3- Additional Notes: P6 his Permit is Approved by Public Works P4 See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ 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(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: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Ali Date: 1 Q 2 4 tiQ