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

Intake &Approval Sheet (FOR PERMIT ST%FF ONLY) • PERMIT# '(S (A'0 39 BUILDING PLANNING Intake OK by: ` t Date: laZ' 1.i -... ._ Intake OK by: (7 Date: �,'� ` 2. '� `g Intake Comments:\ Intake Comments: Assign To: \E\\ & ❑ Route to Commercial Building 1a Attach to Project No. SEV1\V -C \ ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit ErOK to Route to Other Departments Bldg/TI/Addn/Rem Size 2..4 2 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size . to a Zone ( r Number of Stories Overlay/Agreement N b N Basement Ohio ❑Yes, Fin/Unfin Nonresidential Use 1MNC,( . Type of Construction �/'¢� Residential Use M - k Occupancy Group g- 2. S. Z Proposed No. of Dwelling Units: - Occupancy Load St Total No. of Dwelling Units: '1)' '3 4V\ `2r1-C-2 Fire Sprinklers: ❑Update Existing VgNew System Eliot Req'd Planning/Landscape Inspection Required before Final? nidYes ❑No Reason Sprinklers Required: 13(. "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing AoNew System ❑Not Req'd School Impact Fee: s Total $ + '�Qy02 - �' Reason Fire Alarm Required: GAG Calculated:►S-t1 x 3,23o.• Credit(\> 4sV" , .(3i RCW 64.55 MF worksheet req'd for permit? ta Yes ❑ No % Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? VYes ❑No Additional Notes: VALUATION CALCULATION: Total$ S$a) 444- �32c. 40? Ch() / S ((s v) Approved B�!�� - Date: Q PUBLIC WORKS / Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: to ii-i ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder OSubmitted Previously ❑Deferred ❑Sending Fire Notes to Project Team ► This Permit is Approved by Public Works Date: (OK to Route to Other Departments) See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing IL!'New System ❑ Not Req'd ► A Separate PW Permit is Required (Permit#: PW Fire Alarm: ❑Update Existing 1New System ❑ Not Req'd AND ❑ Is located in this folder Chemical Sup: ❑Update Existing ❑New System ❑ Not Req'd ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: K.F5 ) yl Date: 6, -5 1q ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: '-4-//z mg