928 HOYT AVE 2025-04-15 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# V220S— 05 BUILDING PLANNING Intake OK by: 4-04 Date: 611 T,Z-Z-- Intake OK by: Assign To: Date: Intake Comments: Intake Comments: • 0 Route to Commercial Building 0 Attach to Project No. oute to Residential Building ❑ Route to Historic Reviewer ❑Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/A Rem Size do/ 'a j6 /� El Hold in Planning File Drawer Garage/Accessory Struct.Size Zone (2....L Number of Stories 1 Overlay/Agreement Basement ❑No Yes Fi /Unfin Nonresidential Use Type of Construction U- -- Residential Use S?12.— Occupancy Group SP-C- Proposed No.of Dwelling Units: Occupancy Load 'I 1 - Total No.of Dwelling Units: Fire Sprinklers: ❑update Existing ONew System EtNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: in Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System STNot Req'd School Impact Fee: Total $ - Reason Fire Alarm Required: _,,( Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes Lam!No ❑Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 does required prior to final? ❑Yes lgNo Additional Notes: VALUATION CALCULATION: Total$ 1 ,a Approved By:(4 Date: '/(/ PUBLIC WORKS Intake OK by:_l 7__ Date:,.,.i12'I282Z ,.,-.,...w..-,.... Intake Commen . !p Additional Notes: PW Worksheet Needed if. DSys Dev Eval ElTraffic Mit Eval I ` � DSite Work or Drainage Proposed Approved By: vo�'l Date: 3 11.7472, ❑Backflow 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: OThis project also has a separate concurrent PW Review(Green Folder) OFire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: his is a by 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: ,. 0 A Separate PW Permit is Required(Permit#:PW ) ❑Review of As-Built Plans-NO FIRE FEE AND 0 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) 0 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 all, ✓G y- Additional Notes: p,�,�n'/ I vJ Approved By: Date: Approved By. L�W�' Date: ��p 1 7,( L-,G2s2.___/