1310 SE EVERETT MALL WAY 2021-02-22

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# v \ ` \ ` --(X.-1)S BUILDING PLANNING Intake OK by: Date: v Intake OK by: j i 1- Date: 2 I j ((—/i iI Intake Comments: Intake Comments: Assign To: F if), ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer W 0 Make this a " " Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone C I — L Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use keStti.LICI,t I-f-- Type of Construction Residential Use -- Occupancy Group Proposed No. of Dwelling Units: i _— Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 1lo Reason Sprinklers Required: "I Ln iep'L ee�Type: mount$ Fire Alarm: ❑Update Existing ❑New System El Not Req'd School Impact Fee: 1ata( Reason Fire Alarm Required Calculated: Cr�tlit�_ RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett-St ool Dist ❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total $ 06)6J.rvt)-, Lir-(Q,k_v_4:-c-- - m Approved By: Date: ti" - PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: DSys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ` ��`n ❑Backflow Prevention for high hazard: Approved By: Date: Il7 I :(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: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ 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 • - 9 s • Additional Notes: ikL � LL j II ) l I L 1, 4 .")itirO " r7.1 ` , Approved By: Date: Approved By: Date: � 0