1604 HEWITT AVE WELLS FARGO 2022-02-11

Intake & approval Sleet 0 (FOR PERMIT STAFF ONLY) � PERMIT #:�A -LO IQ- 00 BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/Tl/Addn/Rem. Size Garage/Accessory Struct. Size Number of Stories Basement ❑No []Yes, Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: El 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'I RCW 64.55 docs required prior to final? ❑Yes []No VALUATION CALCULATION: Total Additional Notes: Approved By: Date: FIRE -DEPARTMENT Separate / Deferred Submittals Required: El Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE inimal or No Fire Scope - NO FIRE FEE eview/ Inspectio ope-ADD FIRE FEE Approved By: Date: /� r 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: xPW Worksheet Needed if. • 'E]Sys Dev Eval (Traffic Mit Eval ' El Site Work or Drainage Proposed ElBackflow 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 El W " 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 folderfor pen -nit issuance) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: