3201 SMITH AVE BEZOS ACADEMY 2024-08-07

Z.- IntakeApproval Sheet (FOR PERMIT STAFF ONLY) PERMIT# S Z/p� O o Z & BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: S'\ Code 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 BIdg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 0%4 " Number of Stories Overlay/Agreement a Basement El No ❑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 ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes [qNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amo , Fire Alarm: El Update Existing El New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: • edit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑ ,- kilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes El No Additional Notes: VALUATION CALCULATION: Total$ 25 .77 00 Approved By: ii Date: —+ 2' . Z,Q2,ir....../..? ' PUBLIC WORKS- Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: =OSys Dev Eval ❑Traffic Mit Eval Mite Work or Drainage Proposed l DBackflow Prevention for high hazard: Approved B : Date: 6`7/L,//j�d71 :(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers OFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred 1 Additional Notes: 0 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 ❑ 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 ead of Bldg) Approved By: Date: 0 Public Works has no scope--- PW Not Required Additional U `,to 01 l,�\�u 0\, Sri ELECTRICAL 1' °�"1`, Y i �u Additional Notes: Approved By: Date: Approved By: Date: