1622 W MUKILTEO BLVD 2025-03-10 - Laserfiche WebLink

(-6 Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 2(3 ` O` BUILDING` PLANNING Intake OK by: Date: Intake OK bytr \�x Assign To: e Date: • Intake Comments: 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 dd7f/�em Size 432 • + 0 Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone Number of Stories Z. Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction �/- 'P� Residential Use Sr(-- 2 Occupancy Group 'R. Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: (5`n-Q Fire Sprinklers: El Update Existing ❑New System 171Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 12n'No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing El New System icdlNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credi RCW 64.55 MF worksheet req'd for permit? El Yes 01 No ❑Everett School Dist ❑Muk. o School Dist Add'I RCW 64.55 docs required prior to final? El Yes No Additional Notes: VALUATION CALCULATION: Total$ t 2-.ia4 OD I <3o� + (" -C12 t;°4g:') Approved By: Date: \.b \2,tate I ( Z_ C2 G✓� PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval I❑Site Work or Drainage Proposed Approved By: Date: Ili/ IDBackflow Prevention for high hazard: ! =�- i(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 ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works Q 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: \NSbell,JC) Date:7'�.41-9. fa Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 2,0