1622 E MARINE VIEW DR BUILDING A 2022-08-29

Intake & Approval Sheet (FOR PERMIT STAFF ONLr PERMIT # K1q11_-(X'z/ 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: El Update Existing El New System El Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes []No VALUATION CALCULATION: Total $ SZi 6`r OD Additional Notes: Approved By D 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: K, F6 ro w yJ Date: / 1 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 Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape 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. Date: PUBLIC WORKS Intake OK by: Date:_ _ Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eva] El Site Work or Drainage Proposed I❑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 ee PW Review Worksheet and associated attached items ❑ A Sepa W Permit is Required (Permit #: PW ) AND ❑ Is locate is folder ❑ Is in a Separate Gr Folder Qoin with this folder for permit issuance) ❑ Will be issued separately to Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: