6202 ASSOCIATED BLVD BANNER SOLUTIONS 2021-09-22

• • Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 2-54/- O`\ BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: 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 Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling U'its: Occupancy Load Total No.of Dwelling Uni .: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape spection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact F- •: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes era No ❑Everett hoot Dist ❑Mukilteo School Dist Add'RCW 64.55 docs required prior to final? ❑Yes 'BNo Addition- Notes: VALUATION CALCULATION: Total$ 67/L7->OC Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval I ❑Site Work or Drainage Proposed Approved By Date: Off/ � I❑Backflow Prevention for high hazard: S / (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) OFire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works 0 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 CIIs in a Separate Green Folder(join with this folder for permit issuance) .pp Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: K,Exo wq Date: R_r_,,, Et Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved pP By: "j�1 Date: . ;I. 21 X.