9830 EVERGREEN WAY T MOBILE ANTENNAS 2021-09-23

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 2 BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: O Route to Commercial Building 0 Attach to Project No. 0 Route to Residential Building 0 Route to Historic Reviewer ❑Make this a"W" Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size D Hold in Planning File Drawer Garage/Accessory Struct.Size Zone I MUS Number of Stories Overlay/Agreement Basement ❑No DYes , 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: DUpdate Existing ONew System DNot Req'd Planning/Landscape Inspection Requ' •d before Final? DYes DNo Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: 0Update Existing ONew System DNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes ❑No Additional Notes: VALUATION CALCULATION: Total $ 7 0 00.04-9 / Approved ByC— Q�� Date: \\_�© -t©2_0 PUBLIC WORKS Intake OK by: Date: .................................................................................................................................................................... Additional Notes: Intake Comments: I PW Worksheet Needed if: ©Sys Dev Eval ❑Traffic Mit Eval OSite Work or Drainage Proposed Approved B Date:(pV2�/ � iILBackflow Prevention for high hazard: :(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) DRoute to Fire Drawer--- Fire Preliminary Review Notice AND OCreate Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team ❑This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: DUpdate Existing ONew System 0 Not Req'd ❑A Separate PW Permit is Required (Permit#: PW Fire Alarm: DUpdate Existing ❑New System 0 Not Req'd AND ❑ Is located in this folder Chemical Sup: DUpdate Existing DNew System El Not Req'd 0 Is in a Separate Green Folder (join with this folder for permit issuance) Additional Notes: O Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: (Public Works has no scope PW Not Required Additional Notes: /�- l ELECTRICAL -.� i/G f� 64-l Zo 2� Additional Notes: Approved By: Date: Approved By: Date: �2i