3214 BROADWAY BROADWAY KINECT APARTMENTS 2021-08-11

• Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT ZC \0 - o"1 '=.Ali r; Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a'W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size _ CIHold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑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 ❑New System CI Not Req'd Planning/Landscape Inspection Required before Final? Oyes ❑No Reason Sprinklers Required: "In Lieu"Fee: Type: Amount$ Fire Alarm: ❑update Existing El 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 ❑ No _ ❑Everett School Dist ❑Mukilteo School Dist Add'l RCW 64.55 dots required prior to final? ❑Yes ❑No Additional. � Notes: , nr� , r �, 1n�� to VALUATION CALCULATION: Total$ 5 I r v C 1 v�(G(., ro Zrons d4�`i - Na `PA S ' V eArivfeir (11 i i II of. f M1 a- ctUIS. Approved By:a)2, Date: (0/2-6/I ol 5 ; ley ` 'a Intake OK by: Date: ___ Additional Notes: Intake Comments: I PW Worksheet Needed it: �(t SHEA¢ �eyq lti t�4sicuy trip .r.„ s e�- 5I. IIA, 51.MS , s.1.12 A S1.1t-3 i❑Sys Dev Eval ❑Traffic Mit Eval s 4.t3 -nw..wy.,< S4.tri a❑Site Work or Drainage Proposed p Approved By: Ac-y Date: cojl- t l ❑Backflow Prevention for high hazard: I ,(dental,medical,animals,mortuary,hospital, ;supportive housing) — 14, -`11 „; 7w .,,_ ,m , - DRoute 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) OFire Sprinklers ❑Fire Alarm ❑Other: AND OCreate 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: CI Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(loin with this folderfor permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope—PW Not Required -- - _ Additional Notes: Additional Notes: Approved By: Date: Approved By: Date: Z 2-