7401 OLYMPIC DR T-MOBILE ANTENNA 2022-02-25

Intake & Approval Sheet 0 (FOR PERMIT STAFF ON09 0 PERMIT #�b l 1.0-'0 BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement []No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: []Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add] RCW 64.55 docs required prior to final? ❑Yes ❑ No VALUATION CALCULATION: Total $ 25 OcIa Additional Notes: Approved By: Date: 2 5 2.V 2,{ FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: ; Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Dater ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer .OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use W G Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: PlanninglLandscape Inspection Required before Final? ❑Yes []No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By: 616Date: PU13LIC'_W611UK8` Intake OK by: Date: r...,,,,.... ,,.,,,,.,... ............ .......,,,.,.,..,,._.,..,..,...M,.,,,..,..,.,....,,... ....... Intake Comments: PW Worksheet Needed if., USys Dev Eval ❑Traffic Mit Eval 3 Ell Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, (supportive housing) ...... .................. ......... ............ _............. ,.............. .-............ .......... _........ ........... ................. ❑ Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND [Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder Qoin with this folderforpennit Issuance) ❑ WIII be Issued separately (Separate Green Folder, PW issued ahead of Bldg) ,ubiic Works has no scope --- PW Not Required Additional Notes: Approved By: Date: