1611 EVERETT AVE 2025-01-14 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) 0 PERMIT#Z22 `i —015 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size I/Leo 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories 110Y/ Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 111 -5 Residential Use Occupancy Group .0 CNA) Proposed No.of Dwelling Units: Occupancy Load P//A Total No.of Dwelling Units: Fire Sprinklers: INUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprink ers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: Update Existing El New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes lal No ❑Everett School Dist ❑Mukilteo School Dist Addl RCW 64.55 docs required prior to final? ❑ IN Yes No Additional Notes: VALUATION CALCULATION: Total$ ' o Approved By: Date: PUBLIC WORKS Intake OK by: —1-04, Date: 7.12 7 12421— Additional Notes: f� Intake Comments: IPWWorksheetNeededi le"n r< RICr s 1.i-Ce.cz.00. ‘1►1 oa-K -❑Sys Dev Eval ❑Traffic Mit Eval 0 k.Jl.Y I❑Site Work or Drainage Proposed Approved By: Date: "Z fg7 �ap., l❑Backflow Prevention for high hazard: I(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: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept.Fees: 0 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 (join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: -2ublic Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: 7[2-T1202Z Approved By: Date: Approved By: Date: