1502 SE EVERETT MALL WAY BASE FILE 2020-12-21

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT 41°)6 1 tab BUILDING PLANNING 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 ❑ Hold 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 ❑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 ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total Approved By: , c- Date: , :Z..0't0t PUBLIC WORKS Intake OK by: Date: I ?-Oi ' Additional Notes: 'p A=, d=,N1-at. Intake �/, : PWWworksheet Needed if: Aida,. � JO A Dev Eval ❑Traffic Mit Eval° /n l 2 Lme (Site Work or Drainage Proposed Approved By: Date: J)20O. of eone io Backflow Prevention for high hazard: i� ��lp� � / L (dental,medical,animals,mortuary,hospital, CCt.�Cl1il ✓maw.&. ;supportive housing) IV 4(��1u''7' IYI ' FIRE;DEPARTMENT ;Route thl's Folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) Aire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes:, .This Permit is Approved by Public Works ?e..r tic- (it:(it:reen -P,(� 1 ?('nO lee PW Review Worksheet and associated attached items Fire Dept. Fees: ` Separate PW Permit is Required (Permit#: PW 1 01•os Q) ❑ Review of As-Built Plans-NO FIRE FEE AND ig-ts located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Et Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:�,,T y`pwdl Date: > ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 721;7Zp,,