3327 HOYT AVE 2025-12-12 - Laserfiche WebLink

Iritake &Approval Sheet FOR PERMIT STAFF ON09 PERMIT#jai�) 7i 103-nda BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ 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 Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Al 21L Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes []No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing []New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 ME worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$,S"COr-00 Approved By: Q Date: (O_� , 2 WIG WORKS Intake OK by: Date: :.._.,.._.......,._..-__,.. ,.........,.,,.,,.,..,.,._..,_......,.._,._............ Additional Notes: Intake Comments: 3PW Worksheet Needed if* ❑Sys Dev Eval ❑Traffic Mit Eval 3 '.[]Site Work or Drainage Proposed i Approved B Date 27 Z Z €❑BBCICFIOW Prevention for high hazard: BE(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) El Fire Sprinklers ❑Fire Alarm []Other: AND ❑Create Green Folder [ Submitted Previously ❑Deferred Additional Notes: El This Permit is Approved by Public Works , ❑ See PW Review Worksheet and associated attached items Fire Dept.Fees: ❑ 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 ❑ Is in a Separate Green Folder Goin 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: bC� Date: .5-3/�,Z Public Works has no scope-- PW Not Required Additional Notes: Gam' ELECTRICAL 00 �OPDSG� Kam' 0,r`6#06 G* �k,V2 S� �S Additional Notes: Approved By: Date: Approved Date: (e