7410 OLYMPIC DR T MOBILE ANTENNA 2022-02-25

Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLr 0 PERMIT # 02b I I- 02- o 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 El New System El Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add1 RCW 64.55 docs required prior to final? ❑Yes ❑No VALUATION CALCULATION: Total $ 25, oon Additional Notes: Approved By: Date: 2 5 2.v 2,1 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: Date: 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 V� 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: At Date: jl -7 1 M PUBLIC WORKS Intake OK by: Date: ...,,. ..................... __,.w...,,..- ..,_............ W..............................,......... Intake Comments: PW Worksheef Needed if., ! 'L]Sys Dev Eval ❑Traffic Mit Eval '0Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, !supportive housing) L..... ............................. ..................................................................................... ❑ Route this folder for PW Review at end --- PW Review Worksheef ❑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 a ❑ 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 (join with this folderfor permit 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: