1722 100TH ST SW 2025-11-07 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLr PERMIT#621-0-7— 0't Z BUILDING ten/ PLANNING Intake OK by: -, Date: Intake OK by: 6� Assign To:� Date: 23 22 Intake Commen s: Intake Commen Borne minor CorreCkions needed, but r-to+hin9 }had will Sigr,►�iEar,�ly cxNr W%e design, so reviews 6 0M other- dep�-s. 01C �o rnove Vorward• ❑ Route to Commercial Building ®Attach to Project No. REy{2'L- CZ?_ ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ® OK to Route to Other Departments Bid I/Addn/Rem Size SF ❑ Hold in Planning File Drawer ara Accessory Struct.Size Y/4 sF Zone -2 Number of Stories 2 Overlay/Agreement N A Basement IdNo ❑Yes, Fin/Unfin Nonresidential Use �} Type of Construction C Residential Use F Occupancy Group Proposed No.of Dwelling Units: p!j 2 cn Occupancy Load „�- Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System 9Not Req'd Planning/Landscape Inspection Required before Final? []Yes MNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System EgNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ITN ❑Everett School Dist R1Mukilteo School Dist J Z I,e 0 Addl RCW 64.55 docs required prior to final? ❑Yes EgNo Additional Notes:deeds bVildtmc ai iohs VALUATION CALCULATION: Total$ �Za� 5 �ar� �e2 (2o Zz� :�2r aZ3.QO (tip efi LIUIt�� r Oz•� 32 Approved By: 1G0. ry 1 Date: g 3 vv PUBLIC WORKS Intake OK by: -r--1 Date: Additional Notes: Intake Comments: sPW Worksheet Needed if. 1IISys Dev Eval OTraffic Mit Eval QSfte Work or Drainage Proposed Approved By: Date: t ❑68CktlOW 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: 0 This Permit is Approved by Public Works El See PW Review Worksheet and associated attached items Fire Dept.Fees: 91 A Separate PW Permit is Required(Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder t3-Minimal or No Fire Scope-NO FIRE FEE ® Is in a Separate Green Folder (join 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: , W ,vY) Date: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: Approved By: Date: