Laserfiche WebLink
Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#fLAC.© — 001-4 <br /> BUILDING PLANNING <br /> Intake OK by: -Ilk • Date:D/`O`//7.40/`I Intake OK by: Date: <br /> Intake Comments: Intake Comments: Assign To: <br /> ❑ Route to Commercial Building 0 Attach to Project No. <br /> ❑ Route to Residential Building 0 Route to Historic Reviewer <br /> O Make this a"W" Permit 0 OK to Route to Other Departments <br /> Bldg/TI/Addn/Rem Size 2..t btu 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size -- Zone v}'` <br /> Number of Stories q— Overlay/Agreement <br /> Basement ElNo ❑Yes , Fin/Unfin Nonresidential Use .4vi(rz_ (,iust( iirAlkso„s <br /> Type of Construction _ — '7 Z^'°1.' 41"p" ) Residential Use <br /> Occupancy Group 'F. Proposed No. of Dwelling Units: <br /> 7 <br /> Occupancy Load �J[p Total No. of Dwelling Units: <br /> Fire Sprinklers: ❑Update Existing Mew System 4Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes RNo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ / <br /> Fire Alarm: 0Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes Z No El Everett School Dist ❑Mukilte chool Dist <br /> Add'I RCW 64.55 docs required prior to final? Yes No Additional Notes: tinA.elior" i—y_ ✓lo QQc•Ie4 c (.iAo <br /> VALUATION CALCULATION: Total$ 24-Oj ODD 1 I Q <br /> '� <br /> Approved By: y„.\\03A Date: 1— 14—ll <br /> PUBLIC WORKS <br /> Intake OK by: Date: /II' <br /> Additional Notes: Intake Comments: PW Works Needed if: <br /> ❑Sys Dev Eval OTraffic Mit Eval <br /> ❑Site Work or Drainage Proposed <br /> Approved By: /.,��i Date: Z d lei ❑Backflow Prevention for high hazard: <br /> ! (dental,medical,animals,mortuary,hospital, <br /> ik <br /> J supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) <br /> ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: El Update Existing ❑New System Lr Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) <br /> Fire Alarm: Update Existing ❑New System 0 Not Req'd AND ❑ Is located in this folder <br /> Chemical Sup: ❑Update Existing 0 New System ® Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) <br /> Additional Notes: v , 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By:'J A— I Date: l/I / <br /> j0 p EllPublic Works has no scope---PW Not Required <br /> 1 Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: , <br /> Approved By: Date: Approved By: i Z 94yyt Date: f/5/ <br /> 1 a- <br />