1801 BROADWAY WELLS FARGO BANK 2022-01-11

Intake &Approval Sheet (FOR PERMIT STAFF ONL . PERMIT# '2•'(:)0?)10 BUILDING PLANNING Intake OK by: Date: Intake OK by: A/ ? Assign To N 01 Date:5/ 4 7245 Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ oute to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone WV" Number of Stories Overlay/Agreement — Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use wail Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: In Update Existing El New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinkl rs 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 MI No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑ Oa No Additional Notes: VALUATION CALCULATION: Total$ (?j "I-- Approved By: ag Date: qI I 120 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: ctpa/2,t� OBackflow Prevention for high hazard: =(dental,medical,animals,mortuary,hospital, isupportive 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) OFire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred • y,. Additional Notes: ❑ 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: Public Works has no sco e---PW Not Required dditional Notes:IMAM -��"ELECTRICAL I A rw Additional Notes: II Approved By: Date: Approved By: Date: