818 94TH ST SE 2019-08-14 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#(6‘SOCk BUILDING PLANNING Intake OK by: Date:c /7. //e7 Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. oute to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit 0 OK to Route to Other Departments Bldg/TI/Addnt Size £76q 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Xi 57-' G Zone R� Number of Stories ' Overlay/Agreement Basement l No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction 43 Residential Use ACIL `` `calye Occupancy Group �Z ( � Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes IX-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 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? �❑YYes EZINo Additional Notes: 27 ca, t a- ��e_.i Jo VALUATION CALCULATION: Total 1 d O ! V." ,- reqy,/V�_,V� rr" Approved By: Date: Q--2S—Pt. PUBLIC WORKS Intake OK by: -r-o Date: 9'J2,5/l Additional Notes: Z. O /5- // C.. WS C. Intake Comments: PW Worksheet Needed if: Lt.. cc_r z/Ur R polis 4 E t✓ I/4"(EAU oit. Yvos...'- ❑Sys Dev Eval ❑Traffic Mit Eval a "Up ?W SCo of ❑Site Work or Drainage Proposed Approved By: Date: ///z//75 ❑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,New - mercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Prelim'--ryReview Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project -am 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: ❑Up. e Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW Fire Alarm: Pri Update Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical .i p: ❑Update Existing e System 0 Not Req'd 0 Is in a Separate Green Folder Goin with this folder for permit issuance) Addi'.nal Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) pproved By: Date: /O1 ► Public Works has no scope---PW Not Requi ed Additional Notes: /d28/2619 ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: