508 61ST ST SE 2025-01-29 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#e n02 -Co \ BUILDING PLANNING Intake OK by:�,/ Date: 02/0//2_0/q Intake OK by: Date: -4-) t \\Gl Intake Comments Intake Comments: Assign To: ❑ Route to Commercial Building ❑ Attach to Project No. Q Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit _ 0 OK to Route to Other Departments flfd Jl/AddnE9 Size It '`1",' /53 ' 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone 11-_z _ Number of Stories / Overlay/Agreement Basement ViNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction ir Residential Use � _ Occupancy Group V.. Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: t Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: I� RCW 64.55 MF worksheet req'd for permit? ❑Yes t1 No ❑Everett School Dist ❑Mukilteo School Dist Add]RCW 64.55 does required prior to final? ❑Yes El No Additional Notes:--- VALUATION CALCULATION: Total $ IOC t 45 T11,, 3 2 ( 6 —1 2_ SVe z Approved Be,-----‘---- -- Cy/r_- vV Date: Z j /ei `7 X (f - (4P ‘✓' °'- PUBLIC WORKS Intake OK by: � Date: �-'/ / /7,C (1 Additional Notes: z C:/5_,1, - ' 0:s—ex: Intake Comments: PW Worksheet Needed if. ❑Sys Dev Eval ❑Traffic Mit Eval 2?itAe..W/ / r� ®`Site Work or Drainage Proposed Approved By: Date: � /,, �U /(, � iz: C�- i'-- , ❑Backflow Prevention for high hazard (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT I3Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND OCreate Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team This Permit is Approved by Public Works Date: r (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers.;,' ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#. PW ) Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND 0 Is located in this folder Chemical Sup. ❑Update Existing ❑New System ❑ Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ' ' ., , ' . ' . ' ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope--- PW�1 Not Required Additional Notes: A r Uf y .6 1�'cs q,'r ELECTRICAL S 1"" / kyf ifert eit of, ftnk Uzi)Additional Notes: r Approved By: Date: Approved By: E-1- Date: ,gS- 01