Laserfiche WebLink
• <br /> Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#A c Og-.007 <br /> BUILDING - - PLANNING • . . V - <br /> Intake OK by: Date: Intake OK by: Assign To: Date: <br /> Intake Comments: Intake Comments: <br /> a <br /> ❑ Route to Commercial Building 0 Attach to Project No. <br /> ❑ Route to Residential Building 0 Route to Historic Reviewer <br /> ❑ Make this a"W"Permit 0 OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Zone <br /> Number of Stories Overlay/Agreement <br /> Basement ❑No Dyes, Fin/Unfin Nonresidential Use . <br /> Type of Construction - Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupancy Load V V Total No.of Dwelling Units: <br /> Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Cr it: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mu '' eo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: ea A n �:'-J <br /> iv) ,f <br /> VALUATION CALCULATION: Total$ ettO DdDv <br /> Approved By: '�C., . / Date: q,is.Z-Z, <br /> - - * BLIC WORKS - <br /> Intake OK by: i J Date: a(23two- <br /> Additional Notes: Intake Comments: IPW Worksheet Needed if: <br /> 1.14....E co....c. 'Pam <br /> ... 3 5 ks *ram.►•oAsDSys Dev Eval DTrafFicMit Eval <br /> • <br /> . i.oi❑Site Work or Drainage Proposed. <br /> Approved Oryzetz_ Prevention for high hazard: <br /> ;(dental,medical,animals,mortuary,hospital, <br /> ;supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND OCreate Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: , 'his Permit is Approved by Public Works • ' <br /> MSee PW Review Worksheet and associated attached items <br /> Fire Dept.Fees: 0 A Separate PW Permit is Required(Permit#: PW ) <br /> O Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder <br /> ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) <br /> ❑ Review I Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: ❑ Public Works has no scope---PW Not Required <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: gj 1Z,I.,.Z. <br />