620 112TH ST SE SPACE 326 2020-02-25

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# V 11,01 IO BUILDING PLANNING Intake OK by: ciii" Date: 7/C1 /VI Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. IZ.Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit It5OK to Route to Other Departments Bldg/TI/Addn/Rem Size 1417— Si0 Hold in Planning File Drawer. Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement rArNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 7L3 Residential Use 1 u vii 4- 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 nNo 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 0 No ❑Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ t R 00 O -'D V 1.1 ATrOiJ Approve y n_. Date: (5—/e1/ 9 PUBLIC WORKS Intake OK by:__ _____ Date: -/ Additional Notes: Intake Comments: PW Worksheet Needed if: � , Sys Dev Eval ❑Traffic Mit Eval ii•nrgE Site Work or Drainage Proposed Approved By: U(. Date: 7i a2Aq °I f6 ti art16OBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, DelC (i� supportive housing) FIRE DEPARTMENT CAR oute 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: i This Permit is Approved by Public Works vi b4- N ` ' . 0 See PW Review Worksheet and associated attached items /{//f9 Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIR- EE AND 0 Is located in this folder 0 Minimal or No Fire Scope- o FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) 0 Review/Inspection S ••e-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope---PW Not Requiredp Additional Notes: it--7 0,a S G'w,'rk CS I4t ELECTRICAL < If any 1itsilk loY* / pond a cP Additional Notes: f'J rf? qIN et it Approved By: Date: Approved By: Date: `s Zk)