305 SE EVERETT MALL WAY VISION WORKS 2022-06-28

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT# Vj 2.10?—0 Z 6 BUILDING PLANNING . Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: m O 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 Bldgf ddn/Rem Size .7Z f5 , , 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone M0‘ Number of Stories / Overlay/Agreement/§s QQ\ p . Q S Basement o ❑Yes, Fin/Unfin Nonresidential Use o +MK.Z Sly. ___ Type of Construction Q Residential Use Occupancy Group /vI 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? Ekes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: Update Existing El New System CI 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 ` INo Additional Notes: �/ VALUATION CALCULATION: Total$ Z04, / Approved By• - 17—) Date:0\ ,\ .,lj 'l„\ PUBLIC WORKS" Intake OK by: Date: Additional Notes: Intake Comments: i PW Worksheet Needed if. OSys Dev Eval OTraffic Mit Eval . IOSite Work or Drainage Proposed Approved By:'IK .- Date: T� ///%y11 ;OBackflow Prevention for high hazard: t.- �" —� :(dental,medical,animals,mortuary,hospital, ;supportive housing) - FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Separate 1 Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) CI Fire Sprinklers CI Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 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) ,Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:K, '7S39tAAN, Date: 16-, - Zi. g Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL /� Additional Notes: '-_ n (I f\j,y 1,b I D( I 24 !/I Approved By: Date: Approved�By:^' Date: