1917 127TH PL SE 2025-01-14 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) 4111 PERMIT# 137i20 — 036 BUILDING PLANNING Intake OK by: gR4-1 Date: 747-I ZZ Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 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/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement El No ®Yes, Fin/Unfin Nonresidential Use Type of Construction Z Residential Use Occupancy Group C.- Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ErNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes 1INo Reason Sprinklers Required: �i "In Lieu" Fee:Type: Amount$ Fire Alarm: El Update Existing El New System Jot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: rCs Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes B No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes egNo Additional Notes: 6ror,,,,\g_ A^'„J {i f® VALUATION CALCULATION: Total $ 2 Zi$Z S f\D Approved By: r'' Date: (€ P LIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 'PWWorksheetNeededif: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Q Irk Date: �( - t. ❑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 El 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: ❑ 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 0 Is in a Separate Green Folder (join 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/PLUMBING Additional Notes: Approved By: Date: Approved By: Date: