607 SE EVERETT MALL WAY 7 ELEVEN 2022-01-24

Intake & Approval Sheet 111 (FOR PERMIT STAFF ONLY)• PERMIT# '3 6—02- 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 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone C.— I Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use \j ij.-1— 5 I Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: CI Update Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes yNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ .15,DDO Approved By: 44 Date: '7--�.�.- PUBLIC WORKS Intake OK by: Date: Additional Notes: ¶— t— pr ltzeko,z. c Intake Comments: PW Worksheet Needed if: i ❑Sys Dev Eval ❑Traffic Mit Eval i i❑Site Work or Drainage Proposed Approved By: / Date: --I 1 I z py p E❑Backflow Prevention for high hazard: jrf ` l(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) ❑Fire Spri lers El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Is Additional Not : ❑This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built ns- 0 FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire op -NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Insp ion Scope- D FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved Date: 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL OCC )(' --- Additional Notes: Approved By: `V...., Date: Approved By: Date: