1000 SE EVERETT MALL WAY BASE FILE 2020-02-06

Intake & Appmwl Sheet (F•R PERMIT STAFF ONLY) PERMIT#FA/C70 007 BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ 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/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement ❑No DYes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? DYes ONo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ONew System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes 0 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes No Additional Notes: VALUATION CALCULATION: Total$ Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: El Sys Dev Eval Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: ▪Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT ❑Route this folder for PW Review at end --- PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) OThis project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ODeferred ❑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 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW Fire Alarm: ❑Update Existing DNew System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: 0 Update Existing 0 New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: -rerrl l i-\ �c,F',' j' 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) rif--ADD FIRE FEE ❑ NO FIRE FEE 0 Public Works has no scope--- PW Not Required Approved By L� �_ Date: �' /(7 Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 1/2,