Laserfiche WebLink
4110 iii <br /> Intake &Approval Sheet (FOR PERMIT STAFF ONLY) II. PERMIT# AW.2-602,_-002, <br /> BUILDING PLANNING <br /> Intake OK by: (--Ar Date: / 5/gca..o <br /> Intake OK by: )6.4 Assign To: IL.- Date: -I-- C:1- 2,o <br /> ieevi,v.\4z,e. Ito ,e \,-- 14 & AO-. 01,:tv 0?) <br /> Intake Comment .1 Intake Comments: <br /> / titxj41/2:G4-5 eityMeei cor `"`exj-- -)1( ‘.4,-‘,*-•, ot <br /> El Route to Commercial Building El Attach to Project No. <br /> El Route to Residential Building 0 Route to Historic Reviewer <br /> 14 Make this a"W"Permit 15-40K to Route to Other Departments <br /> Bldflffiddn/Rem Size El Hold in Planning File Drawer .. <br /> Garage/Accessory Struct. Size Al)/ Zone 01-1 <br /> Number of Stories Z— Overlay/Agreement <br /> Basement No 0Yes , Fin/Unfin Nonresidential Use mowed 0,-..e.— <br /> Type of Construction I/4 Residential Use q reS.- Ofkikr, <br /> Occupancy Group dA2—Z— Proposed No.of Dwelling Units: <br /> Occupancy Load 91 Total No.of Dwelling Units: I <br /> Fire Sprinklers: ElUpdate Existing Mew System .13Not Req'd Planning/Landscape Inspection Required before Final? ElYes No <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amo t$ <br /> Fire Alarm: El Update Existing EINew System p Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Crt1 <br /> RCW 64.55 MF worksheet req'd for permit? El Ye s a No 0Everett School Dist 0Mukilt o School Dist <br /> Addi RCW 64.55 docs required prior to final? 0Yes , No Additional Notes: ge*04,1,- sy",a;c0Jes q u&As t-4P-'0-4- <br /> VALUATION CALCULATION: Total$/00 000, a 1.2 *e1C‘5").1 11° Al"- <br /> / <br /> Ma 0041 or .919Pkw•me WI il•AA`, fe-16131- <br /> , Approved By: V. Date: 14-40-7,0-24) <br /> PUBLIC WORKS bz <br /> Intake OK by: Date: S V) <br /> Additional Notes: Intake Comments:• !PW Worksheet Needed it ONG <br /> 0 hilirejikY Virk H <br /> t....iSys Dev Eval OTraffic Mit Eval <br /> Approved B • L . 1,...., Date:as/14/04,7-e <br /> 1:1Site Work or Drainage Proposed <br /> IDBackflow Prevention for high hazard: <br /> 1(dental,medical,animals,mortuary,hospital, <br /> i supportive housing) <br /> FIRE DEPARTMENT EIRoute this folder for PW Review at end ---PW Review Worksheet <br /> Separate/Deferred Submittals Required: 0This project also has a separate concurrent PW Review(Green Folder) <br /> 0 Fire Sprinklers ElFire Alarm 00ther: AND 0Create Green Folder 0Submitted Previously 0Deferred <br /> Additional Notes: 0 This Permit is Approved by Public Works <br /> 0 See PW Review Worksheet and associated attached items <br /> Fire Dept. Fees: El A Separate PW Permit is Required (Permit#: PW ) <br /> 0 Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder <br /> ,__, <br /> U Minimal or No Fire Scope-NO FIRE FEE El Is in a Separate Green Folder(loin with this folder for permit issuance) <br /> a-Review/Inspection Scope-ADD FIRE FEE El Will be issued separately(Separate Green Folder,PW issued ahead of Bidg) <br /> Approved By: .1?),(\go Gt)A Date: t-i-c,7 ••••20,2C) 10 Public Works has no scope--- PIN Not Required <br /> 6--7 ...--ezzatitt Additional Notes: <br /> je <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By:( , ) - Date: 275/2,67,0 <br /> 2/ <br />