906 SE EVERETT MALL WAY CHILD STRIVE 2022-04-28

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# F.V1 A'o`el BUILDING PLANNING Intake OK by: ,...e Date: P 2k((°1 Intake OK by: Date: Intake Comment-6 ` Intake Comments: Assign To: ❑ 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 `4!)1 .4 aft, ElHold in Planning File Drawer Garage/Accessory Struct. Size — Zone —i'62__ Number of Stories LO Overlay/Agreement Basement pNo ❑Yes , Fin/Unfin Nonresidential Use (5k1C.e Type of Construction =C- ft Residential Use Occupancy Group i:;› Proposed No.of Dwelling Units: Occupancy Load Ste✓ Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System WNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes El No Reason Sprinklers Required: 0 o L«r es« v�PAW tr4 "In Lieu" Fee:Type: Amount$ Fire Alarm: 111Update 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 633No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes VINo Additional Notes: 1\)0 &IN` 1A user — oc f ice - VALUATION CALCULATION: Total$ - t6►rIoC tAAertor '► - h pi{ 4- fe or oj' e CdS� S rn r App� By: � l oats: D . Zl . I cJ PUBLIC WORKS Intake OK by: r 1 Date: 8 zi zw? Additional Notes: Intake Comments: PW Worksheet Needed if:Aft/6 0 0./G 1� / ❑Sys Dev Eval ❑Traffic Mit Eval �' K ` DSite Work or Drainage Proposed Approved By: , t' Date: p,(p/(R ❑Backflow Prevention for high hazard: `! (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) El Fire Sprinklers OFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 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) 2 Review/Inspection Scope-ADD FIRE FEE ,/ El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: < w in Date: 9 3 —j/ J2r Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: n/0 7@j ��CCCJJJ .2-4_