3927 FRIDAY AVE 2019-02-06 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# SO O"O(. UILDING PLANNING Intake OK by: Date: C6•". tc Intake OK by: -.--1Dater -((YS l Intake Comments: , t' cr Intake Comments: Assign To: O'�c ce V ❑ Route to Commercial Building 0 Attach to Project No. ❑ oute to Residential Building ❑{Route to Historic Reviewer x, Make this a"W" Permit ILEI OK to Route to Other Departments Bldg/TI/Add Rem 6ize 400 S! 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories 1 Overlay/Agreement Basement ❑No i2LYes ,at Unfin Nonresidential Use Type of Construction Residential Use S� S Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: dikt Fire Sprinklers: ❑Update Existing ONew 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 MF worksheet req'd for permit? ❑Yes `it'No ❑Everett School Dist ❑Mukilteo School Dist. Add'I RCW 64.55 docs required prior to final? ❑Yes IXINo Additional Notes: VALUATION CALCULATION: Total$ S 3 &O© Approved ByC ? Date: \.(2)!U2),j, ZQ\F- PUBLIC WORKS Intake OK by:c Date: 3131201$ Additional Notes: .0/S- ire , wS�5L Intake Comments: PW Worksheet Needed iff• �`� &vita) ,20J 1q.I( ❑Sys Dev Eval ❑Traffic Mit Eval pArEl d( pavt�1,,JJYt1in f ,Mite Work or Drainage Proposed Approved By: . Date:9 kV/f4 a /gal" hos rt /u,,g,❑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 Intake: (Needed for Townhomes,Alley load SFR,, -w Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preli' ►nary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Projec eam 0 This Permit is Approved by Public Works Date: (0 o Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Upda Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: 0 •da • xistin System 0 Not Req'd AND ❑ Is located in this folder Chemical Sup:err?!. I pdat- xis' g-10 ev, st-+ ❑ Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additiona it es: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approv'd By: • �. i�"� Public Works has no scope---PW Not Required Additional Notes: / ELECTRICAL Additional Notes: Approved By: Date: Approved By: 4Jt,f ni A Date: 1 l 1 b& "2.6 1,V