4735 BAYVIEW LN 2025-06-18 - Laserfiche WebLink

2-O L D Hide ��' =60e-d Intake & Approval Sheet (FOR PERMIT FFONLI) ERMIT Cch-)�g��—O'er{ BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit BidgM/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Exsting ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'[ RCW 64.55 docs required prior to final? ❑Yes ❑No VALUATION CALCULATION: Total $ Additional Notes: Approved B i Date: /j � Wr-/ FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: t Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review/ Inspection Scope -ADD FIRE FEE Approved By: Date: ELECTRICAL Additional Notes: Approved By. Date: PLANNIRIJ Intake OK by -_Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use . Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By. Date: PUBLIC 11VORk8 Intake OK by: Date: ...-__.__._......._ ...... ..... ___ ..._,_...__._........ Intake Comments: 'PW Worksheet Needed if., I❑Sys Dev Eval ❑Traffic'Mit Eval I❑Site Work or Drainage Proposed. ❑Backflow Prevention for high hazard: 3(dental, medical, animals, mortuary, hospital, Esuppordve housing) ❑Route this folder for PW Review at end — PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works ' ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit#: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder Qoin with this folderfor permit issuance) ❑ WIII be Issued Separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope — PW Not Required Additional Notes: Approved By. Date: