5132 27TH AVE W 2025-01-30 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ON09 PERMIT# BUILDING PLANNING Intake OK by: Date: V 2 3l2Z,-2 Z Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building `.J �°iJ ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ElOK to Route to Other Departments Bldg/TI/ /Rem Size 2` Lf F4 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories 2 Overlay/Agreement Basement []No ❑Yes , i /Unfin Nonresidential Use Type of Construction C Residential Use Occupancy Group c Proposed No.of Dwelling Units: Occupancy Load (, Total No.of Dwelling Units: Fire Sprinklers: ❑Update E:asting ❑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: RCW 64.55 MF worksheet req'd for permit? ❑Yes E No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total$ �-�°iq c—L OF F' Approved By: Date: PUBLIC WORKS Intake OK by: . Date: Additional Notes: eE1/tS t- Intake Comments: EPW Worksheet Needed if. 1�/-NTH LWY�wf C�t1f}N6,E C NE"� �vtrvgUWS� p�,C1'L QEp/9'fZT'1v+-ErvT �fil =OSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: jL Date: Z ❑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 ❑ 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 ❑ Is in a Separate Green Folder Coin 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: Date: ❑ Public Works has no scope--PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: