2227 GRAND AVE 2025-09-11 - Laserfiche WebLink

Intake &.Approval Sheet (FOR PERMIT STAFF ONfL�q PERMIT#,~ BUILDING PLANNING Intake OK by: `` 1— -- Date: 1C I C, Z Z Intake OK by: Assign To. Date: /0 Intake Comments: Intake Comments: (rtl ✓i u 4Vrt' ❑ Route to Commercial Building ❑Attach to Project No. 13?Route to Residential Building FHold oute to Historic Reviewer ElMake this a"W"Permit K to Route to Other Departments/Addn/Rem Size in Planning File Drawer Garage/ ccessory Struct.Size 44 00 Zone umber of Stories i Overlay/Agreement Basement QNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction ; Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load 1.??'� Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ONot Req'd PlanninglLandscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ElNot Req'd School Imp Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: ROW 64.55 MFworksheetreq'd for permit?-' ❑Yes 11 No ❑Evere ool Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to fi l? ❑Yes ❑No i lonal Notes: VALUATION CALCULATION: Tot 2t, H Cc No por1L y�-ecS i !Approved By: Date: PUBLIC WORKS Intake OK by: . Date: _,....,... .,.,.._.,..w................. �..._,_.,__....,.. ..,__,...... Additional Notes: Intake Comments: ,,(( `PW WorksheetNeededif.- l�e Lid li�lr�IaK " : Sys Dev Eval ❑Traffic Mit Eval w� 3%Site Work or Drainage Proposed Approved By: �1, Date: =OBackFlow Prevention for high hazard: r�-I �N ;(dental,medical,animals,mortuary,hospital, nvitW esuppo e t NAM" folder for PW Review at endrti- PW FIRE DEPARTMENT Rout Review Worksheet y^ Separate/Deferred Submittals Required: This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works See PW Review Worksheet and associated attached items Fire Dept. Fees: M A Separate PW Permit is Required (Permit#:PW23 0.3 �) ❑ Review of As-Built Plans-NO FIRE FEE AND ]A Is located in this folder ❑Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folderforpermit issuance) ❑ 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 d 'ional.Not s: n w ELECTRICAL hT ' Additicnal Nctes: Approved By: Date: Approved By: r Date: