909 SIEVERS-DUECY BLVD GYRO MANIA 2021-09-10

Intake &Approval Sheet • (FOR PERMIT STAFF ONL19 • PERMIT# S 2V)\' &O9 BUILDING PLANNING Intake OK by: Date: Intake OK by: Iiif Assign To:/I ivf$ , Date: 1 /1 JAI _ Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 'OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone LI2 Number of Stories Overlay/Agreement Sr in U2t • E Basement El No ❑Yes, Fin/Unfin Nonresidential Use . Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ONo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ f SdQr ba Approved By:f Date: V 2c 2, PUBLIC WORKS / Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: I OSys Dev Eval DTraffic Mit Eval I❑Site Work or Drainage Proposed Approved By ,...,,,,A*�.,yy Date: p�/f Z�`jfL/ '=OBackflow Prevention for high hazard: v / (dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm DOther: AND ['Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: > ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept.Fees: ❑ A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 17 'ublic Works has no scope---PW Not Required Additional Notes: 1 l/ z, (2a'Z,t ELECTRICAL • ,�- Additional Notes: Approved By: Date: Approved By: Date: