10115 HOLLY DR BLDG T OLIN FIELDS APTS 2023-04-07

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) • PERMIT# D 0 7 01"2. BUILDING PLANNING' . . Intake OK by: Date: Intake OK b Assign To: Date:'// /2Z Intake Comments: Intake Comments: 0 ❑ 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 UT -LA Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use . Type of Construction • Residential Use NI U I-H-Qtr}'i 1;1 9.- 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? DYes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El 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? bYes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add]RCW 64.55 docs required prior to final? ❑Yes ANo Additional Notes: VALUATION CALCULATION: Total$ 6//79v 69 . �Ja Marsha Rll/z-i Approved By: Date: PUBLIC WORKS,' Intake OK by: Date: Intake Comments: 'PW Worksheet Needed if: Additional Notes: 4 'OSys Dev Eval OTrafficMit Eval • • Osite Work or Drainage Proposed Approved By. ram%/ Date:O�/oVZ-vZ L OBackflow 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) El Fire Sprinklers ❑Fire Alarm El 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/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: