2901 LOWELL-SNOHOMISH RIVER RD 2022-07-20

Pli° + J Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) `�• i PERMIT# I 0 1 ®2 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 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone t'S?(N(`� Number of Stories Overlay/Agreement lt\g426?%441. Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use g\kp.tt9, . 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 bef ' ai? ❑Yes No _ Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: To 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 does required prior to final? ❑Yes CI No Additional`_ Notes: C--C'�(\C�\�tC S O� ,��h41.\ VALUATION CALCULATION: Total$ . s l Ca., '�" WQ - �"� d� �S' v,,, `per \C�,\,& o, oar\\A r 0oAiQaY. 2 E"r )k 2� bokoe� Gy4eta. i 'Mu` be C2.x�ovec3,'S� �c s Approved By: —� Date: Z , rg_2Cy2I Ao ` PUBLIC WORKS 0,_, Intake OK by: Date: , Additional Notes: Intake Comments: IPW Worksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval 1❑Site Work or Drainage Proposed I OBackflow Prevention for high hazard: Approved By: Date: (dental,medical,animals,mortuary,hospital, isupportive 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) O CI Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred QN Additional Notes: 2 This Permit is Approved by Public Works 12g-See PW Review Worksheet and associated attached items P'Fire Dept.Fees: CIA Separate PW Permit is Required(Permit#: PW ) � ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder I ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(loin 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) 4 'Approved By: Date: ElPublic Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: _ Approved By: Date: Approved By: Date: O-01 A l't_o-t4 U v,