Laserfiche WebLink
Intake&Approval Sheet (FOR PERMIT STAFF ONI.') PERMIT# <br /> BUILDING PLANNING <br /> f1ntakeQKby:,__ pate: Intake OK icy: AssignTo: �leS� Date: I 1N Z Comments: Intake Commen s: <br /> Zone M V <br /> Make this a"W"Permit ❑SRC Required [Fre-Inspj OverlaylAgreement M e fro <br /> Bldg1T11Addn/Rem Size Nonresidential Use c. <br /> Garage/Accessory Struct.Size Residential Use <br /> Number of Storles Proposed No.of Dwelling Units: <br /> Basement []No ElYes, Fin I Unfin Total No.of)Dwelling Units: _ <br /> Type of Construction PianninglLandscape Inspection Required before Vinal? ' es e o <br /> Occupancy Group "In Lieu"Fee:Type. Amount <br /> Occupancy Load School Impact Fee'. Total $ <br /> Cert.of Occppancy Required?159No ElYes UShell Only Calculated:n Credlt: <br /> Code Year M2021 [12M E12015 DEverett School Dist fMukilteo School Dist <br /> Fire Sprinklers:El-Update Exlsting Mew System WNot Req'd Parklmpact Fees for permits applied for-after 11112022: <br /> Reason Sprinklers Required: Park impact Fee Total (net due after credit forex(sting uses) <br /> FlreAlarm: ElUpdateExlstingIINewSystem HNotReq'd Fee Schedule Used For Calculation(Year): <br /> Reason Fire Alarm Required: <br /> RGW 64.65 MF worksheet req'd for permit? 1 lYes &No <br /> Add?RGW.64,55 does required priorto final? UYes FINo Additional Notes: <br /> VAI:UATION CALCULATION: Total ii� <br /> ' Approved By: Date:113 IZ <br /> PUSLM 01Y KS <br /> Intake OK lay: Date: <br /> Intake Comments: PWReview&Worksheet NNeeded if <br /> i A CISys Dev Eval: <br /> Additional Notes: 1 ❑Water Msewer Ustorm <br /> �QTraffic Mitigation Eva[, <br /> Approved By: Date: i )—(Site Work/Drainage(shownitdiggered) <br /> PAddress Letter <br /> 1~IR 'bEPA TMirNT ClSackBow Prevention for high hazard: <br /> Separate I)Deferred Submittals Required: lhospltal,supportive�housi g)rfua�, <br /> }Fire Sprinklers ❑Fire Alarm Other: <br /> Additional Notes: This Permit Is Approved by Public Works <br /> See PW Review Worksheet and associated attached ifems <br /> Fire Dept:.flees: A Separate PW Permit is Required(Permit#:PW ) <br /> Review of As-Built Plans-NO FIRE FEE AND ❑Is fully digital <br /> b Minimal or No Fire Scope-NO FIRE FEE a Is located In this folder <br /> E Rev!awlinspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder qo;nwith.thrstolderforpermltrssuance) <br /> Approved$y: Date: El Will be issued separately(Separate Green Folder,PW issued ahead of9ldg) <br /> lifi.-Ublic Works has-no scope on this permit---PW Not Required <br /> I=J..EG-TRiCAL1PLUMSING Additional Notes: <br /> Additional Notes: ` <br /> Approved By: Date: Completed By: Date: 1z 3 Zo Z 4 <br />