11014 19TH AVE SE APPLAUSE DANCE STUDIO 2022-03-04

• Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# 132 I ° "7- 07(p 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 2-0 co o 4 ' ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size — Zone 1 Q Number of Stories 1 Overlay/Agreement Basement ®No ❑Yes, Fin/Unfin Nonresidential Use ` -CO. Type of Construction 1/-Fj Residential Use Occupancy Group e, Proposed No.of Dwelling Units: Occupancy Load gy Total No.of Dwelling Units: F s. xistl em of Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ e arm: dat stin Ne ys Req'd School Impact Fee: Total $ Reason Fire Alarm Required: � Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑ k3!Yes L No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: In)In)e,46C uozytt, ot1 VALUATION CALCULATION: Total$ 5 , eov Approved By: V. • ...A Date: cj, 6...7 J' UBLIC WORKS Intake OK by: . Date: �- Additional Notes: Intake Comments: "PW Worksheet Needed if: \6il \ t. Mt 9pt(Lt 'ii. ❑Sys Dev Eval DTraffic Mit Eval _DSite Work or Drainage Proposed Approved B ,,�,, Date: /p/dy ❑Backflow Prevention for high hazard: i • (dental,medical,animals,mortuary,hospital, supportive 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 Sprinklers kff ire 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 kit Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder coin with this folder for permit issuance) ❑ Review/Inspection Sccoo e-ADD FIRE FEE El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: ��-�'' Date: ila!/l l/ ublic Works has no scope---PW Not Required /jtee. 44.41-4"czw.ri- Additional Notes: ELECTRICAL - it,d it tlazt Additional Notes: Approved By: Date: Approved By: Date: .`h • • Y7.--C )