Laserfiche WebLink
Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# Rosu)s-(7k9 <br /> BUILDING PLANNING* • . V <br /> Intake OK by: Date: Intake OK by: Assign To: Date: <br /> Intake Comments: Intake Comments: <br /> �� ' <br /> is tXi� '� `> 11 �= '/... <br /> % <br /> o/Lioo ,c—fV4L,v4 <br /> ❑ Route to Commercial Building 0 Attach to Project No. <br /> ❑ Route to Residential Building ❑ Route to Historic Reviewer <br /> ❑ Make this a"W"Permit 0 OK to Route to Other Departments <br /> BldglTl/Addn/Rem Size 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Zone <br /> Number of Stories Overlay/Agreement _ <br /> Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use <br /> Type of Construction • Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: . <br /> Occupancy Load • V Total No.of Dwelling Units: <br /> Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ['Yes ONo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: El Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ['Yes ❑ No ['Everett School Dist ❑Mukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes 0 No Additional Notes: nO -1 .3 'Slall 1‘e, turvis, <br /> VALUATION CALCULATION: Total <br /> Approved By: Yi, .I Date: 6,K.2 z, <br /> 0PUBLIC WORKS' <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: 1PW Worksheet Needed if: <br /> 31'44) "µ I1]Sys Dev Eval ❑TrafficMit Eval <br /> f� IDSite Work or Drainage Proposed. <br /> Approved By: Date: "' 't' ce/p�( DBackfiow Prevention for high hazard: <br /> 0(4 _':(dental,medical,animals,mortuary,hospital, <br /> isupportive housing) <br /> FIRE DEPARTMENT RI 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: IA This Permit is Approved by Public Works V <br /> ®See PW Review Worksheet and associated attached items <br /> Fire Dept. Fees: `❑A Separate PW Permit is Required (Permit#: PW <br /> 22 -cnr1 <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: jainAttijurryigINI Date: ais 141202.21 <br />