713 SE EVERETT MALL WAY BASE FILE 2022-08-11

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# �1Og '"O2 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 Bld TI Addn/Rem Size /S& `Si f ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories 1 Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction 1/S Residential Use Occupancy Group 13 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 ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ,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 fa No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes '©No Additional Notes: VALUATION CALCULATION: Total$/' /k - 7/ Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: €PW Worksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval ��,, IDSite Work or Drainage Proposed Approved ByY ,..,�KZ�� Dater/?ter/77e, ❑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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred 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) `Review-/-I4spest}on Sreeiaa—_ADD FIRE FEE KS ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: >�. t Ain Date: q— 7 2f 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: