811 SE EVERETT MALL WAY OLYMPIC HOT TUB 2025-09-26

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#�j�la�j�L 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 ❑ 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 Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No 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$ �`�1Y�'S �� I irhtnor Approved By: Date: '4."7.jJ UBLIC WORKS Intake OK by: Date: _...._._......_.. .___..,....._._.......... _._. Additional Notes: 1 Intake Comments: PIN Worksheet Needed if. _ l ILA ?❑Sys Dev Eval ❑Traffic Mit Eva[ Cam/ I❑Site Work or Drainage Proposed Approved By: ' Date: ;❑Backflow Prevention for high hazard: (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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: 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 folderforpermit issuance) 0 Review/Inspection Scope-ADD FIRE FEE ❑ Will be Issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: .3U ❑ Public Works has no scope--PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: