607 RIVERSIDE RD GREAT LITTLE BOX CO 2022-01-21

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#S2(b12_ C(, 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 ❑ Route 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 al Number of Stories Overlay/Agreement Basement El 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: El Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes $lo Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: El Update Existing El 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 ❑ No El Everett School Dist ❑Mukilteo Soho Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: 1r. Lai OCV, VALUATION CALCULATION: Total$ Approved By: V ,\_)% e.) Date: ) 5. al UBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 1PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval IDSite Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: Date: /2,4 �-L1 `(dental,medical,animals,mortuary,hospital, 1( !supportive housing) FIRE DEPARTMENT 0 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: ❑ A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder 0 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 scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: