920 WETMORE AVE 2025-04-18 - Laserfiche WebLink

Intake &Approval Sheet 111 (FOR PERMIT STAFF ONLY) 9 PERMIT# ?2i 614-- O42—" BUILDING . , , PLANNING" Intake OK by: Date: Intake OK by _ Assign To:fU)4+ • Date:4/ /7-ii Intake Comments: intake Comments: • ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 oute to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments BldglTI/Addn/Rem Size f li7714-L` 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone TX l2. Number of Stories I Overlay/Agreement Basement to ❑Yes, Fin/Unfin Nonresidential Use . Type of Construction cd� Residential Use jP� Occupancy Group Proposed No.of Dwelling Units: Occupancy Load eilirL Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System l 'of Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: ,, ,,// "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ONew System iZ of Req'd School Impact F • Reason Fire Alarm Required: . Calc e • Credit:❑RCW 64.55 MF worksheet req'd for permit? Yes 51',No verett School Dist 0 Mukilteo School Dist Add'l RCW 64.55 docs required prior to final? ❑Yes allo Additional Notes: No ex cr Wv(. geA (1�,y4 of, • VALUATION CALCULATION: Total$ 1O9 AfP � rerevili A oved By:At ate j242iIPUBLIC WORKS intake OK by: Date: ___ Additional Notes: Intake Comments: PW Worksheet Needed ift -- c'7 Irl /4"4L ❑Sys Dev Eval DTraffic Mit Eval /•�1 1),j�� / ©Site Work or Drainage Proposed Approved By: „� - Date:Sly/�` ❑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 I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers El Fire Alarm ❑Other: AND❑Create Green Folder OSubmitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 3 ❑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(loin with this folder for permit issuance) 1 ❑ Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) , Approved By: Date: V Public Works has no scope--PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Poo, Date: Pt/2t1 d xi,