2429 MELVIN AVE 2025-03-10 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 142--l1.5$ —(3(7) BUILDING PLANNING Intake OK by: Date: Intake OK by:M57 Assign To: W gj, Date: SPI��'1 Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit JOK to Route to Other Departments Bldg/TI/Add em S-)e /(1-c) ,S`F ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size "4/62 Zone Number of Stories / Overlay/Agreement Basement ❑No 11. 1Yes , Fin/Unfin Nonresidential Use Type of Construction 2C Residential Use S p Occupancy Group .C2e Proposed No.of Dwelling Units: Occupancy Load V Total No.of Dwelling Units: Fire Sprinklers: DUpdate Existing ONew System pNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System BNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No DEverett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes () Additional Notes: VALUATION CALCULATION: Total$ q Uth0.OV Approved By:A Date: V J I 1 f2_&z-_/ PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: DPW Worksheet Needed if: OSys Dev Eval OTraffic Mit Eval I OSite Work or Drainage Proposed Approved B �J� Date: ` ;OBackflow Prevention for high hazard: pp y "� - `� ��v/ z��y :(dental,medical,animals,mortuary,hospital, :supportive 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 OFire 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(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: