33 SE EVERETT MALL WAY 2022-11-16

(-4 Intake & Approval Sheet 0(FOR PERMIT STAFF ONLY) 10 PERMIT# 2DI,0-0 BUILDING PLANNING / Intake OK by: Date: Intake OK by: Assign To:r J Nw}G 4 Date: 10/2-7/Z0 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 WOK to Route to Other Departments Bldg/TI/Addn/Rem Size 141, 4+2 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone (; I Number of Stories Overlay/Agreement Basement MNo Dyes, Fin/Unfin Nonresidential Use I-ted of fly Type of Construction V' Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ;Update Existing' Existing 1Z1New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes to Reason Sprinklers Required: "n Lie ' ee:Type: Amount$ Fire Alarm: Update Existing rig New System El Not Req'd cho I Im act Fee: Tot I $ Reason Fire Alarm Required: C I fated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No verett Sc ool Dist Mukilteo Schbo ist Add'I RCW 64.55 does required prior to final? ❑Yes INo Additional Notes: No CIM,l0 ;v. use_ V a e -{elfcr VALUATION CALCULATION: Total$ 200 GYM c r 009 r c t vat/1-I-11 FS gyp ►--, Approved By: / ; Date: ).v'L J/2,p PUBLIC WORKS I Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if; I❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: ( Zl ❑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 3 ❑ 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 ❑ Is in a Separate Green Folder(join with this folder for permit issuance) l Review/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Kj� v,n Date:/f- ?Jp ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: