2808 HOYT AVE 204 2025-07-22 - Laserfiche WebLink

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) II PERMIT# 2�12-034 BUILDING PLANNING Intake OK by: Date: Intake OK by: 045 Assign To:frtex Imo. Date: iZ/9/2l10 Intake Comments: Intake Comments: QtiGyGA- larP ? ra.a-ifv- - re i Ut1 - n0 ov► -d cit. pavtti f\ reel Ui'lo W , ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ,XOK to Route to Other Departments Bldg/TI/Addn/Rem Size �(/Y 4 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone VIA U — J%4;l(eol li A kt Number of Stories I J1` Overlay/Agreement 41,0)6 G Z SI-C4- Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use R-es+ .Vr Type of Construction V-3 Residential Use Occupancy Group f Proposed No.of Dwelling Units: i Occupancy Load • `3,� Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Planning/Landscape Inspection Re . d before Final? ❑Yes MNo Reason Sprinklers Required: rr��rt "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System 12Not Req'd School Impact Fee: Tot Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett Scho ist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? `❑Yes 13 No Additional N es: VALUATION CALCULATION: Total$ J i d Approved Date: '�''� 2-Z2_ZcrL1 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval 1 ❑Site Work or Drainage Proposed Date: c Approved By: ,ice'" /ii /2/ ❑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 ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: > This Permit is Approved by Public Works a " •a A 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: outJ.n Date: '4-,20.2.(} ❑ Public Works has no scope PW Not Required _ Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Mk Date: 9 41(e1