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

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 1 Z D 13- nix. BUILDING PLANNING (a Z/GS'- off) 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/Tl/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 ❑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!RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ Approved By: Date: - PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PYY Worksheet Needed if: €IJSys Dev Eval ©Traffic Mit Eval :Dsite Work or Drainage Proposed Approved By: Date: ❑Backfl0w Prevention for high hazard: i(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 OFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ElThis 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 El Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Review/Inspection Scope- D FIRE FEE El Will be issued separately(separate Green Folder,PW issued ahead of Bldg) Approved By5., 6))/ Date: 5 //�Z/ W ID Public Works has no scope--PW Not Required !vie Additional Notes: ELECTRICAL Additional Notes: T Approved By: Date: Approved By: • Date: