1325 SE EVERETT MALL WAY FLYING SQUIRREL 2021-12-22

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT#= == =_ BUILDING • PLANNING . Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: O Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 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 ONew 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 0 No [(Everett School Dist ❑Mukilteo School Dist Add'I 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: jPW Worksheef Needed if: DSys Dev Eval ❑TrafficMit Eval • • I DSite Work or Drainage Proposed. Approved By: Date: I❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, :supportive housing) I 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: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Sc,.e-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: 56 // Date: 9 (702 I 0 Public Works has no scope PW Not Required Additional Notes: con 4, `ems, r,,tt b. 4-,v i`r ELECTRICAL c,r-t'Ge• Sr Sr:• al ke L\".�c_Cc ek.r. Z r �P\ e t Additional Notes: kdi" q. c.. Pc."\ '.C." f`'G~' 'k�c'�4 ' s ^Sk e.t �d i."5:Ac c: � Approved By: Date: Approved By: Date: