607 RIVERSIDE RD GREAT LITTLE BOX CO 2021-04-01

Ci2 Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) i PERMIT# U 2CO2.-02 3 BUILDING PLANNING Intake OK by:_ ,(Z?7_ Date: r•q alb Intake OK btT -} Assign To: Mee Y Date: 2,V�• Intake Comme s: / Intake Comments: \, ❑ 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 rg1 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size -- Zone jV n\, - t Number of Stories . Overlay/Agreement Basement No ❑Yes, Fin/Unfin Nonresidential Use Cal "(Q,. Wat ae, Type of Construction 1LL_ - ''?j Residential Use Occupancy Group �j Proposed No.of Dwelling Units: Occupancy Load '2.9- Total No.of Dwelling Units: Fire Sprinklers: Rd Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Req 'red before Final? ❑Yes INo Reason Sprinkl rs Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: Update Existing ❑New System ONot Req'd School Impact Fee: Total Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? El Yes 11 No El Everett Schoo ist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes el No Additional Not s: VALUATION CALCULATION: Total$ ; `JC) cal Approved By:� ----) Date: 3, Q(0, -o -Q PUBLIC WORKS Intake OK by:U A Date: 211 q I .)I-0 Additional Notes: Intake Comments: IPW Worksheet Needed if: 1 listit41-s 69— TI 6,4*.". OSys Dev Eval ❑Traffic Mit Eval L E S S -144M t O,ooa Ik i DSite Work or Drainage Proposed o FF.ct Sc Mo 515- ❑Backflow Prevention for high hazard: Approved By: .ti► Date:��a- -a' ''�vt. >r EC.S -emu r_. �� ;(dental,medical,animals,mortuary,hospital, u !supportive housing) L. FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I 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: El 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 ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) El-Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: K v3 ' (e,, ( Date:3-3 _^ I°' Public Works has no scope---PW Not Required Additional Not //9 /2e td ELECTRICAL Additional Notes: _ Approved By: Date: Approved By: Date: