5828 GLENWOOD AVE A T AND T MOBILITY ANTENNA 2021-11-18

• • Intake 8 Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 'c\05 —CC5 BUILDING PLANNING Intake OK by: Date: Intake OK by: )t' Date: 5- I —IAA Intake Comments: Intake Comments: Assign To: \\ W r)ee �-t, i(Q.d, 6 tY i?(rr,- f p„rJ 5 6)h12-C)ly, Sy$(7,- , ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a "W" Permit ❑liO K to Route to Other Departments Bldg/TI/Addn/Rem Size IG]-l-lold in Planning File Drawer Garage/Accessory Struct. Size Zone R--7. Number of Stories Overlay/Agreement Basement El No ❑Yes , Fin/Unfin Nonresidential Use L).(&55 cct.[,t ),)-. Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type. Amount$ Fire Alarm: El Update Existing DNew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes ❑ No DEverett School Dist ❑Mukilteo ciool Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: ikffu,d v r Dos i :.ems i +w �r ,.z VALUATION CALCULATION: Total $ Z, - L/ I ,eflactime{t}- epte Approved By: `- !dam" Date: ``.- PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval Traffic Mit Eval IOSite Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: .\---e Date: q(iy :(dental,medical,animals,mortuary,hospital, i ;supportive housing) 'FIRE DEPARTMENT 0 Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: OThis project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously El Deferred Additional Notes: at 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 folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope--- PW Not Required Additional Notes: 4,(4, ef,,... 0174 �,, ELECTRICAL ; # : (�(!�7 N prfvOV1 d kewfv.-- .S)e-epe. /V Df Additional Notes: I r Approved By: Date: Approved By: - 1— Date: 474i/ , 1:2,