1720 100TH ST SW 2025-11-07 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ON09 PERMIT#�ZZ01 BUILDING PLANNING Intake OK by: r Date: / iL Intake OK by: Assign To: Date:09 Intake Comments: Intake Commen s: Some minor coreec}ic r%s needed, louf noVVyIny%4j- Wi11 a14er the design,so reviews Vrom Omer de0s. 0\C �o move- forward. ❑ Route to Commercial Building ®Attach to Project No.REV 1 22,-- 022 ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ® OK to Route to Other Departments Bldg[TI/Addn/Rem Size ( ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size t-{ Zone -2 Number of Stories .2 Overlay/Agreement N/A Basement RNo ❑Yes, Fin/Unfin Nonresidential Use NZA Type of Construction C_ Residential Use SFR Occupancy Group -TIC Proposed No.of Dwelling Units: ( oV 2. on ko� Occupancy Load T-V-C Total No.of Dwelling Units: ( 2 on Fire Sprinklers: ❑Update Existing ❑New System QNotReq'd Planning/Landscape Inspection Required before Final? ❑Yes QNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System LqNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No ❑Everett School Dist $gMukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes RNo Additional Notes:M eec s bu'%V ivY ) in6csyNk ca\G0 wA-io"s VALUATION CALCULATION: Total$ ` LI3, $3�4 (20zz) I�Otrk �ee'• VZ 8'13 .60(��,�� 70 Approved By:�1CSS G 301rvi Date: VV to (/ DD O • JU PUBLIC WORKS Intake OK by: i pate: Additional Notes: Intake Comments: PW Worksheet Needed if.• -Ptj2Zo1 - 02A &Sys Dev Eva[ OTraffic Mit Eva[ 121S[te Work or Drainage Proposed Approved By: Date: (�/?ye- ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end --- PW Review Worksheet 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: 13 A Separate PW Permit is Required(Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder Minimal or No Fire Scope-NO FIRE FEE 19 Is in a Separate Green Folder 0oln 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: -,,?� ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: Approved By: Date: 6K 6 J) m 2Z,