305 SE EVERETT MALL WAY SIGNARAMA 2020-03-06

Intake &Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# 1j\SCO �C \ BUILDING PLANNING /1 Intake OK by: Ati Date: t,17(4-e, I Intake OK by: Assign To:) ! U: )e Date:)d/2-0A gi Intake Comm:.: Intake Comments: vI 7(J v(e,a/k.a,icari7 ❑ Route to Commercial Building 0 Attach to Project No. O Route to Residential Building 0 Route to Historic Reviewer ❑ M..e this a"W"Permit L OK to Route to Other Departments Bid°e ddn/Rem Size 5/00 SF 0 Hold in Planning File Drawer Garage/Accessory Struct.Size /✓/4 Zone C 1 — Number of Stories / Overlay/Agreement Basement iziNo ❑Yes, Fin/Unfin Nonresidential Use Silo)pnn-I-s i Type of Construction v$ Residential Use Occupancy GroupProposed No.of Dwelling Units: Occupancy Load 74Total No. of Dwelling Units: _ Fire Sprinklers: Update Existing ❑New System ❑Not Req'd anning/Landscape Inspection Required before Final? ❑Yeslo Reason Sprinklers Required: "In Lie .e`Type: Ar Fire Alarm: CI Update Existing CI New System PNot Req'd School Impact Fee: otal $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 01 No ❑Evere - ool Dist ❑Mukilteo Sc •: st -- Add!RCW 64.55 docs required prior to final? ❑Yes tNo Additional Notes: VALUATION CALCULATION: Total$ / 006.60 / Approved By: (/1/e> Date:t( /2- PUBLIC WORKS Intake OK by:`°"fV -. Date: PO )ZA ! Lc Additional Notes: Intake Comments: PW Worksheet Needed if: I .z.J : 0.4A--et o•4 -e DSys Dev Eval DTraffiic Mit Eval ❑Site Work or Drainage Proposed Approved B Date:� /q/1,/9 =❑Backflow Prevention for high hazard: YYI(dental,medical,animals,mortuary,hospital, isupportive housing) FIRE 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) CI Fire Sprinklers CI Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 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 0 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 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: ` ,ede Wm Date: II-4,7-i? 0-Public Works has no scope--- PW Not Required Additional Note • - %� . , j A) /Za/1St ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: (";-.C.-))