620 SE EVERETT MALL WAY SUITE #200 FRESA MEXICAN KITCHEN 2021-09-22

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# 20,L` "-cc BUILDING PLANNING fin;,: Intake OK by: Date: Intake OK by: °V Date: /1(i/A7 Intake Comments: Intake Comments: Assign To: Ai D Route to Commercial Building D Attach to Project No. D Route to Residential Building © ute to Historic Reviewer ❑Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size D Hold in Planning File Drawer Garage/Accessory Struct.Size Zone C— I V- Number of Stories Overlay/Agreement jq1, U - :f .I-- Basement DNo [ Yes, Fin/Unfin Nonresidential Use 1 , C 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 DNo Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ClUpdate 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$ Approved By: Date: 2g_2,2 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: =PW Worksheet Needed if: =OSys Dev Eval ❑Traffic Mit Eval I❑Site Work or Drainage Proposed Approved By: rfl'e' Date: I(//1/ ..e 2A DBackflow Prevention for high hazard: ++ 6` ((dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route 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 ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team D 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 ❑New System D Not Req'd ❑A Separate PW Permit is Required(Permit#: PW Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND D 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: D Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: D Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: