1817 HOYT AVE 2025-04-15 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) ill PERMIT# 637-1 O1_05) BUILDING PLANNING Intake OK by: fi--Qk Date: 31Z612-2. Intake OK by: Assign To: Date: 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 ❑ OK to Route to Other Departments Bldg/TI/Addn em Size t%9 4( 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories ` — Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction £.- Residential Use ‘d Z Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: i Fire Sprinklers: ❑Update Existing El New System ' Not 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 Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes It No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑ S Yes No Additional Notes: wc jtrr'cyp(v,— gp... eArt'3 VALUATION CALCULATION: Total$ 90yv+ r 11400 Approved By: IL. Date': :\ZI ZZ 1 PU WORKS Intake OK by: Date: Additional Notes: Intake Comments: I PW Worksheet Needed if: {DSys Dev Eval OTraffic Mit Eval 1 D Site Work or Drainage Proposed Approved By: tC Date: 124 tL'L I DBackflow Prevention for high hazard: .(dental,medical,animals,mortuary,hospital, Isupportive 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 El Fire 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 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/PLUMBING Additional Notes: Approved By: Date: Approved By: Date: