2310 17TH ST 2025-04-18 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 2-« 2 - Q BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comment : Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a "W" Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 35,0 4- ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone Number of Stories 2._ Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction I G Residential Use `7 [�- Occupancy Group I fir_. Proposed No.of Dwelling Units: Occupancy Load R ..C. Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ®Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Vrj\lo Reason Sprinklers Required: "In Lieu" Fee: Type: Amo t$ Fire Alarm: ❑Update Existing ❑New System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cre ' . RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No ❑Everett School Dist ❑Mukil o School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes EZINo Additional Notes: , €xt 5 ,a(-- VALUATION CALCULATION: Total$ 25 J COD (e.J\Q«2J• /ara�Qn, t),- O j Approved By: '(_,, , Date: 12-1, -z UBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: [PW Worksheet Needed if: ❑Sys Dev Eval Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: y =❑Backflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, isupportive housing) FIRE DEPARTMENT DRoute 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 ❑ 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: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: