2905 MAPLE ST 2025-04-08 - Laserfiche WebLink

Intake &Approval Sheet 0(FOR PERMIT STAFF ONLY) •PERMIT# r2'2-"a O I BUILDING I PLANNING Intake OK by: Date: Intake OK by: INS Assign To:)1 I ,t4 Date:v )1 1.1 Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit VI OK to Route to Other Departments BIdg/TI/Addn/Rem Size So 70 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories I Overlay/Agreement Basement tiNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction (1 — 13 Residential Use Occupancy Group 5 Proposed No.of Dwelling Units: Occupancy Load / Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing Chew System SNot 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 ONot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: pp��,, Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes `�I No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes '-ig No Additional Notes: VALUATION CALCULATION: Total$ 90 CoO•ti� lib r: elpalfhirki -cam Approved By. Date: el/ . - __ Th PUBLIC WORKS �/ ake OK by: . Date: itional Notes: �.e, q � �� Int ke Comments: PW Worksheet Needed if: 1 i�� Au D A � intivfri%- _OSys Dev Eval ❑Traffic Mit Eval �Jun, (/�,/\ ;)]Site Work or Drainage Proposed Approved By: Date: /67-/ _0Backflow 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 DOther: AND ❑Create Green Folder OSubmitted Previously ❑Deferred Additional Notes: This Permit is Approved by Public Works asee PW Review Worksheet and associated attached items Fire Dept. Fees: IidA Separate PW Permit is Required(Permit#:PW 2v i---o►2 ) 0 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 El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) • Approved By: ,e,W Date: // 2 ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: / Approved By: Date: Approved By:--, jv='¢-" Date: 4-1 tZ1247.71—