125 74TH ST SE 2019-08-13 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# Ile-692(p BUILDING PLANNING Intake OK by: Date: 10 Intake OK by. j� Date: Intake Comments Intake Comments: Assign To: •f 9 C& rl v iMtA- lt5�Cc 12 ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit `OK to Route to Other Departments 1 2- Z-) Bldg/TI/Addn/Rem Size --10 old in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use - ô\ Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes JNo 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 ❑ No ❑Everett School Dist./t1Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? Oyes ❑No Additional Notes: ,; /1 /`_11g riVALUATION CALCULATION: Total$ '"1 I �T�t gl►,,�. Approved By: fiCiau,diDate: I._ PUBLIC WORKS Intake OK by:-.71-14 Date: It L 2tc 12o r d Additional Notes: Intake Comments: PW Worksheet Needed if: ecr.+vt4,fL'r S Fa To ❑Sys Dev Eval OTraffic Mit Eval ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: Date: /z`/7//a .., 4O ,N t�aa,,,�1�, (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT irA oute 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) El Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team r►- his 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 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW Fire Alarm: ❑Update Existing ONew System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: - 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved = % Date: 14, Ito I