1513 23RD ST 2019-08-08 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# b16(i'V i9(p BUILDING ''/I i PLANNING Intake OK by: Date: Intake OK by: VA--- Date: 1-Ci-I Intake Comments: Intake Comments: Assign To: • . i! C,O q S -2_ - ,red-a�\ ca l c e✓i-��ed AAA, ce) r€ , , w.-A- e i5 axe 'Jcancrm, ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg Addn/Rem Size Oa 0 "Hold in Planning File Drawer Garage/Accessory Struct. Size A/441 Zone PN-4 Number of Stories I Overlay/Agreement (.'9 A Basement ®No ❑Yes , Fin/Unfin Nonresidential Use CoSe.. Type of Construction 03 Residential Use Occupancy Group 8 Proposed No.of Dwelling Units: Occupancy Load /5 Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System ,Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes E3No 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: ex es- Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ 5/$a2Ob • Approved By: 14, A Date: \\-'Zv-j PUBLIC WORKS Intake OK by: Date: //t p - Additional Notes: Intake Comments: CC PW Worksheet Needed if:N071 1111E all ari I Sys Dev Eval ❑Traffic Mit val * ❑Site Work or Drainage Proposed /V / (]Backflow Prevention for high hazard: Approved By:,,,, \ ,,,,, ^ Date: /1 `p y/,,,8 �/571_¢.—.. 4214.4).. (dental,medical,animals,mortuary,hospital, �► /s'•6 ! - ,/6,0041C: supportive housing) FIRE DEPARTMENT pg3Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System I..,d 'Jot Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: pUpdate Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing RINew Sy em 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: 7„,...4 for q,zo (. 41tecile1 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: 6 4 -,r Date: 11/'2"7 liC 1 0 Public Works has no scope PW Not Required -off Additional Notes: fie' C/C iibeJvy,t.,7/ Z-cc i q ELECTRICAL $fr �a�. ,/M e- 1$ A (2 --4fri'l-- Additional Notes: i� rtc$ s Rade- 4 1,4,7-4..- c Approved By: Date: Approved By: / X-/y.�l Date: I Z//2 f 2d