1516 MCDOUGALL AVE 2025-04-16 - Laserfiche WebLink

Intake & Approval Sheet . (FOR PERMIT STAFF ONLY) • PERMIT# 1?2w ZOOS--6;015' BUILDING PLANNING Intake OK by: Date: 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/Rem Size t Scoc0 Sr-t2 ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone �fZ. Number of Stories 2 Overlay/Agreement Basement Alt lo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction v f7 Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yeslo Reason Sprinklers Required: "In Lieu" Fee: Type: Amo $ Fire Alarm: ❑Update Existing ❑New System MNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cre t: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No El Everett School Dist ❑Mukilt o School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes MNo Additional Notes: (IOW) A'�'� VALUATION CALCULATION: Total $ }S 3 ' C3 J ( SLoco k So Approved By: Date: '1, BLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval Traffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: Date: ` �� t (dental,medical,animals,mortuary,hospital, :supportive 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder OSubmitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required (Permit#: PW Review As -Built lew of As Built Plans NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ 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: . Iblic Works has no scope--- PW Not Required Additional Notes ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: