1111 80TH ST SW 100 JAMCO 2025-01-23

Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY) • PERMIT# D Z/0 6 ._005 BUILDING PLANNING' Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. El Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size (A7 A. "k't- 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone LI 2-- Number of Stories 1.. Overlay/Agreement Basement giNo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction TLL= i! Residential Use Occupancy Group F ±/ 5=1/e Proposed No.of Dwelling Units: Occupancy Load - Total No.of Dwelling Units: Fire Sprinklers: NUpdate Existing El New System ❑Not Req'd Planning/Landscape Inspection quired before Final? ❑Yes ❑No Reason Sprinkl s Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: oUpdate Existing El New System ❑Not Req'd School Impact Fee: T I $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes V)No ❑Everett Sch I Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ViNo Additional tes: VALUATION CALCULATION: Total$ =-' 1ceY" Approved By: Cii.c.--- Date: &' \T it' PUBLIC WORKS" Intake OK by: Date: Additional Notes: '* errl.), G.e.m1 sT'' --rt"`i Intake Comments: IPW Worksheet Needed if: i IOSys Dev Eval OTraffic'Mit Eval 'Osite Work or Drainage Proposed Approved By: Date: (I�(r? I I OBackflow Prevention for high hazard: I(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) qiirgire Sprinklers El 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 ❑ 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) eview/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW Issued ahead of Bldg) Approved By:K grext)n Date: ;2/ fL-Public Works has no scope PW Not Required dditional Notes: ELECTRICAL Pt (4, t7se- Additional Notes: �� -1-- / Approved By: Date: Approved By: --/-1/ — Date: 6?-(2..cfiZo LQ