111 SE EVERETT MALL WAY GWYTHER SALON 2021-11-02

Intake &Approval Sheet i (FOR PERMIT STAFF ONLY) • PERMIT# D2,1 T)L r 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 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Add em Size t 3 7 c 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories k Overlay/Agreement Basement ErNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction v Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load I I Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System SNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ql,No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System MNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: . Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes El No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes:VALUATION CALCULATION: Total$ 12(.9 ace, \y-4,r d �aaA\l ,,A1i� tiLli Approved By: Date: 4 ZI PUBLIC WORKS` Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: €OSys Dev Eval ❑Traffic Mit Eval =OSite Work or Drainage Proposed Approved By: Date:1/4) k-- 2/ ❑Backflow 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 ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works c 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 0 Is in a Separate Green Folder coin with this folder for permit issuance) Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:,g7wn Date:5=434 2/ 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: