1520 SE EVERETT MALL WAY 2022-04-28

Intake &Approval Sheet (FOR PERMITS AFF • PERMIT# Aa - ` BUILDING PLANNING Intake OK by: Date: Intake OK by: af6 Assign To:i14. Date: )2.--/(L'm 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 Ram, Hold in Planning File Drawer Garage/Accessory Struct.Size ,t//A Zone:^ C ( — n-- , • Number of Stories / Overlay/Agreement ,��^ Basement I'No ❑Yes, Fin/Unfin Nonresidential Use t-'v I v (C urierift, Type of Construction .trr IQ Residential Use VtY Occupancy Group f- / Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Lilo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update 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 ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ 1 4 (1A0° Approved By: A4./ Date: +Z/(/ A 1 PUBLIC WORKS Intake OK by: e, Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval i DSite Work or Drainage Proposed Approved B ,. Date: /LAg/?.D/et i0Bal, flowmeth Prevention,animas,mortuary, high hazard: A 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 ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Pr,igkerY ❑Deferred F. 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) ❑ Reviews gpection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved :ZI �'--� Date: /2/86/7t '7 (Public Works has no scope--- PW Not Required ` Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: