620 112TH ST SE SPACE 208 2020-02-25

G1)0R-T Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 8181€Y'ONO 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 744 Sfi: Zone Number of Stories Overlay/Agreement Basement ONo ❑Yes , 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: ❑Update Existing Chew System ,®Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑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 Ez.No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ®.No Additional Notes: VALUATION CALCULATION: Total$ 2ZI 32.0 Approved Date: )O 2y PUBLIC WORKS Intake OK by:-1-1.-1 Date: to/2-4 t it) Additional Notes: Z,0/3"; Intake Comments: PW Worksheet Needed if: t�rGv.l ""%1 Ac.TvaED t4444,❑Sys Dev Eval ❑Traffic Mit Eval 1-ciat-A�"ka r, E_,r''ST "461 ❑Site Work or Drainage Proposed wJah SYS eV. 'FEES **- Approved By: i Date: Hair y S 91'£ o+-+c ❑Backflow Prevention for high hazard: w . (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT htoute 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 ONew System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW Fire Alarm: ❑Update Existing ❑New 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: rikPublic Works has no scope---PW Not Required Additional Notes: A / ELECTRICAL 11 29 2a,g Additional Notes: Approved By: Date: Approved By: Date: