Laserfiche WebLink
0 • V <br /> Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# -t l b 1 ' <br /> BOLDING' PLANNING <br /> Intake OK by: Date: Intake OK by(:-1 k- )Asslgn To: . �e\S_,T Date: \�.\,d <br /> Intake Comments: Intake Comments: <br /> ❑ Route to Commercial Building ❑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 2.. f( 7�j,13 !y - El Hold in Planning File Drawer <br /> Garage/Accessory Struct,Size /t/-•^, Zone M-S,M-2 <br /> Number of Stories / Overlay/Agreement SMA <br /> Basement INo ❑Yes, Fin 1 Unfin Nonresidential Use Li.Industrial <br /> ,Type of Construction ii . I Residential Use N/A <br /> Occupancy Group S / i ' Proposed No.of Dwelling Units: N/A <br /> Occupancy Load de (f i Total No, of Dwelling Units: N/A <br /> Fire Sprinklers: ❑Update Existing,in Newsystem ❑Not Req'd Planning/Landscape Inspection Required before Final? IlYes ONo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: N/A Amount$ <br /> Fire Alarm: ❑Update Existing,21Now System ❑Not Req'd School Impact Fee: Total $.._N/A ,, <br /> Reason Fire Alarm Required: y Calculated: Credit; <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑Mukllteo School Dist <br /> Add!RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: Recorded critical area covenant required prior to permit <br /> VALUATION CALCULATION: Total$/g 7 t4 issuance. <br /> J / J;y F`f <br /> ' „_, Approved By:I'%,. <br /> 4 / Date: 4.15.2021 <br /> ' ' AlBLIC WORKS'' <br /> Intake OK b • Date: <br /> Additional Notes: I eke Comment(, PW Worksheet Needed If <br /> See) ❑Sys Dev Eval DTraffic Mit Evai <br /> 1 '\ l (v ) 201 I-b'Z OSite Work or Drainage Proposed <br /> Approved B ' L f3ackflow Prevention for high hazard: <br /> t <br /> pp x•`_. ,.,/„:-S t: .,• Date: z^,,r ,r.`fE:/ <br /> (dental,medical,animals,mortuary,hospital, <br /> ) supportive housing) <br /> FIRE DEPARTMENT DRoute 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 /> ire Sprinklers ire Alarm DOther: __ AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> Additional Notes: 0 This Permit Is Approved by Public Works <br /> 0 See PW Review Worksheet and associated attached Items <br /> Fire Dept, Fees: ❑ A Separate PW Permit Is Required (Permit it: PW ) <br /> ❑ Review of As-Built Plans-NO FIRE FEB AND 0 Is located in this folder <br /> ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is In a Separate Green Folder(jobs with this folder for permit Issuance) <br /> Review/Inspection Scope-ADD FIRE FEE ' 0 W III be Issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved B � a Date•/f 7.:. scopeRequired <br /> y: ..� - � 0Public Works has no ---PW Not Re aired <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br /> Z <br />