1118 80TH ST SW A T AND T WIRELESS ANTENNA 2025-05-16

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY lb PERMIT# SNIDOCo"906-- BUILDING'' PLANNING J^ Intake OK by Date: Intake OK by Assign To: �i Date:1 l�/ZO Intake Comments: Intake Comments: /L ❑ Route to Commercial Building CI Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit LOK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone nil——r Y + Number of Stories Overlay/Agreement 's Basement ❑No ❑ y�Yes , Fin/Unfin Nonresidential Use ( * Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: '-- Fire Sprinklers: ❑Update Existing ❑New System CI Not Req'd Planning/Landscape Inspection Required before Final? ❑YesNo Reason Sprinklers Required: "l'imieuz. ee:Type: Fire Alarm: CI Update Existing CI New System El Not Req'd School Impact Fee: $ Reason Fire Alarm Required: Calculated: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Evere ool Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: wrace oil ly . VALUATION CALCULATION: Total$ Approved By: 06 Date: 1 124.f/20 PUBLIC WORKS Intake OK by: Date: Intake Comments: Additional Notes: FEFft as aNtr4. wo 1PW Worksheet Needed if: ``�Ze`� ^t^ 'S� 2c rrize.+tc'trct f' I4f Zc t DSys Dev Eval ❑Traffic Mit Eval Pg.4,Pvsev / NOT CZc*Utas'.j ❑Site Work or Drainage Proposed DBackflow Prevention for high hazard: Approved By: Date: i(dental,medical,animals,mortuary,hospital, isupportive 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 0 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: ❑ Public Works has no scope PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: