229 SW EVERETT MALL WAY 2022-04-28

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) ill PERMIT# J ` - Z(i BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: CI Route to Commercial Building 0 Attach to Project No. Route to Residential Building 0 Route to Historic Reviewer ❑Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use ve\MC\Q \Pg Type of Construction Residential Use Occupancy Group 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 Fin Yes �No Reason Sprinklers Required: "In Lieu" Fee:Type: A nt$ Fire Alarm: ❑Update Existing ❑New System DNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes IDNo ❑Everett School Dist Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total $ Approved By. Date: \2_©\ 'Z-O PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 'PW Worksheet Needed If: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed ( j a 1 DBackflow Prevention for high hazard: Approved By: Date: I2 /r�0� '(dental,medical,animals,mortuary,hospital, { :supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end --- PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review (Green Folder) ❑Route to Fire Drawer--- Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ONew System ❑Not Req'd 0 A Separate PW Permit is Required (Permit#: PW Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND ❑ Is located in this folder Chemical Sup: ❑Update Existing Mew System ❑Not Req'd 0 Is in a Separate Green Folder (join with this folder for permit issuance) Additional Notes: 0 Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: