11419 19TH AVE SE CHERRY MASSAGE 2020-08-28

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# S``l OS'°C) BUILDING / / PLANNING Intake OK by: Date: Intake OK by: �'0� Date: 6/ /)r 41 Intake Comments: Intake Comments: Assign To: PLY ❑ Route to Commercial Building ❑ 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/Adds/Rem Size Hold in Planning File Drawer Garage/Accessory Struct. Size Zone g--2- Number --LNumber of Stories Overlay/Agreement cat,--f '16-1-re-201C Basement ❑No DYes , Fin/Unfin Nonresidential Use jA1 41S—Cal-e- S-2( Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: -- Occupancy Load Total No. of Dwelling Units: — ��.,,(( Fire Sprinklers: ❑Update Existing ❑ ❑ L�J New System Not Req'd Planning/Landscape Inspection Required before Final? DYes No Reason Sprinklers Required: "In Lieu" Fee:Type: _ Amount$ Fire Alarm: DUpdate 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? ❑Yes 0 No DEverett School Dist DMukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: wi iti d© sj S S ha11 "` r r G� VALUATION CALCULATION: Total$ "ft �✓/Yf L i 1. 3(4, . 1 1 ` f Approved By: t= I ) Date: ., ' , -:/�/. : PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: yt, Date: l(q �� ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works ❑ 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 O 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: Date: 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: