401 SW EVERETT MALL WAY BIG FOOT JAVA 2022-10-06

• Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) . PERMIT# S 20 q -003 BUILDING - •, PLANNING" • - . - - Intake OK by: Date: Intake OK by` - Assign To: Date: tt1 tq j2?_- 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 0 OK to Route to Other Departments BldglTl/Addn/Rem Size 0 Hold in Planning File Drawer , Garage/Accessory Struct.Size Zone l(L) Number of Stories Overlay/Agreement 11 Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use . �.0 5. Type of Construction - Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load • Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew 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 ONot 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 Ta X\INC MIY / -/I 4122- Approved By: Date: PUBLIC WORKS'- Intake OK by: Date: Additional Notes: Intake Comments: 'PW Worksheet Needed if: ;OSys Dev Eval OTraffic Mit Eval • OSite Work or Drainage Proposed �-'�' Date: Itop, `_OBackflow Prevention for high hazard: Approved By: I :(dental,medical,animals,mortuary,hospital, _supportive housing) _ FIRE DEPARTMENT DRoute 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) El Fire Sprinklers OFire Alarm ❑Other: AND OCreate 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: 0 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 0 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: Date: 0 Public Works has no scope--- PW Not Required Additional N6tesr-I- tG�G. o v,r 04—V 51 LAN A8%.) ELECTRICAL Z.re—re w /,EW. la -per t S cs,?t Additional Notes: Approved By: Date: Approved By: ' ate: 4-/ i 4 /2022