1215 80TH ST SW 2026-01-12 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# Dlaoq BUILDING PLANNING Intake OK by: Date: 'i/ Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ® Route to Commercial Building ❑Attach to Project No. � Q (�� 1 NCO 21_al l ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size ��, �,ot v F�� ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement 21No ❑Yes, Fin/Unfln Nonresidential Use Type of Construction E— Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing 191 New system ❑Not Req'd Planning/Landscape Inspection Required before Final? []Yes []No Reason Sprinklers Required: > 0-o1`0 4 "in Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing New System ❑Not Req'd School Impact Fee: Total $ - Reason Fire Alarm Required: > —F-.f-z- Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? []Yes IN No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? []Yes QflNo Additional Notes: VALUATION CALCULATION: Total$J Mt , �I.S.6i 5Ro ( `42) = 14-,.4 c,c.�xra0 Approved By: Date: tG) p4�G,r 2lr3o x o, PUBLIC WORKS 1 Q, R4h,o24 Intake OK by: . Date: Additional Notes: Grlc:ud Intake Comments: I PW Worksheet Needed if., - -� f OSys Dev Eval []Traffic Mit Eval f ❑SIte Work or Drainage Proposed Approved By: Date: e 9-7 2�r� 1�Backflow Prevention for high hazard: ((dental,medlcal,animals,mortuary,hospital, Isupporlive housing) FIRE DEPARTMENT El 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) ra-Sprinklers Imore Alarm ❑Other: AND ❑Create Green Folder []Submitted Previously ❑Deferred Additional Notes: 14 This Permit is Approved by Public Works See PW Review Worksheet and associated attached items Fire Dept.Fees: RA 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 4 Is in a Separate Green Folder Qoin with this folderfor permit Issuance) "Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date:, G ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: 4i ? Date: o