1325 SE EVERETT MALL WAY FLYING SQUIRREL 2022-11-16

Intake &Approval Sheet 'FOR PERMIT STAFF ONLY) ire PERMIT# S 2-tkO _Oej, BUILDING PLANNING ZII "-' (C� Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: r s%1\ Gam d O Route to Commercial Building 0 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 Jv\U\ Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use . \ \ Type of Construction Residential Use \ate Q*\ q n�c��er-tea} Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount Fire Alarm: CI Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: dit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑ kilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: 7 VALUATION CALCULATION: Total$ Approved B Date: \©.�,\.to _\ PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 1PWWorksheetNeededif:: OSys Dev Eval OTraffic Mit Eval • I DSite Work or Drainage Proposed Approved By: 401+ Date: t� .yr�.� IDBackflow 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 1 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: CI This Permit is Approved by Public Works , 0 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 0 Is in a Separate Green Folder coin with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: