2000 TOWER ST RAINIER HALL 2022-01-21

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) 0 PERMIT# L l r(:).(:1 BUILDING PLANNINGy Intake OK by. i 47 Date: �/A-0�0,-d Intake OK by: (/{/› Assign To:j-'1 Date: (')- -/2.1g Intake Comments: Intake Comments: kr/ ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ oute to Historic Reviewer ❑ Make this a"W"Permit I `9K to Route to Other Departments Bldg/TI/Adckni em S /DX' ,r,F ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size .,I//,,Q Zone ?--2. Number of Stories Overlay/Agreement Basement JESIo Oyes , Fin/Unfin Nonresidential Use UM ill (/,,, c(1' .- Type of Construction jr—id Residential Use Occupancy Group ,,tY Proposed No.of Dwelling Units: - Occupancy Load /%/ Total No..of Dwelling Units: — Fire Sprinklers: El Update Existing El New System 17Not Req'd Planning/Landscape Inspection Required b e Final? ❑Yes Jo Reason Sprinklers Required: "In Li e:Type: Amount$ / Fire Alarm: El Update Existing ❑New System 0'Not Req'd School Impact Fee: Reason Fire Alarm Required: Calculated: r ' : RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett S of Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 'No Ad ' ' nal Notes: VALUATION CALCULATION: Total $ ZJII,az 94 Approved By: Date: '/2. 72e PUBLIC WORKS Intake OK by:Y$. Date: l /2_1112.6 2v A ditional Notes: Intake Comments: 4 d PW Worksheet Needed if: I a"«C'� '° - 0 N`•" I❑Sys Dev Eval OTraffic Mit Eval o ^,?� s c O 7,� ❑Site Work or Drainage Proposed Approved By 1)- Date: p/pyfOlo ❑Backflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, isupportive housing) FIRE DEPARTMENT El 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 ODeferred 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:Z .13Y )c Date: /2 blic Works has no scope--PW Not R uire Additional Notes: ! 24- 20 20 ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: