1130 SE EVERETT MALL WAY SHARETEA 2020-02-06

Intake &Approval Sheet PERMIT STAFF ONL1) PERMIT# 11 6-Mt PP l' 'OR J BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comm s: 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 \ `c)k9- 0 Hold in Planning File Drawer Garage/Accessory Struct. Size - Zone Ci_- 1_`Z_.. Number of Stories ,i Overlay/Agreement Basement @No ❑Yes, Fin/Unfin Nonresidential Use {'.e 14-61A-- Type of Construction \/t7 Residential Use Occupancy Group q ' Proposed No.of Dwelling Units: Occupancy Load 2.8 Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System INot Req'd Planning/Landscape Inspection Required before Final? Yes 'No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System IZINot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes It No ❑Everett School Dist ❑Mukilteo Scho Dist Add'I RCW 64.55 docs required prior to final? ❑Yes V:I No Additional Notes: el\)0 1 A ..Y-›e— C „ t o� �� ` VALUATION CALCULATION: Total$ 03G� �� 07(r) Approved By: )4.--1)-0 \ Date: i-3)—j 9 PUB `IC WORKS Intake OK by:71J Date: 713 i J 20 t i Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval , ❑Site Work or Drainage Proposed Approved By: / Date: (2JI/I4 ❑Backflow Prevention for high hazard: Y 111 (dental,medical,animals,mortuary,hospital, supportive housing) IRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm DOther: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans- NO FIRE FEE AND 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ,,--�� Approved By: Date: I Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved Byte-: " " " !Irii ' Date: -7 31 L01, (z171:,-)