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

Intake &Approval Sheet I (FOR PERMIT STAFF ONLY) • PERMIT# k J d 49^°02 BUILDING : PLANNING' . . Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: 0 Route to Commercial Building 0 Attach to Project No. D Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑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 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? ❑Yes 0 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes El No Additional Notes: VALUATION CALCULATION: Total$ Approved By: Date: PUBLIC WORKS' • Intake OK by: Date: Additional Notes: Intake Comments: IPWWorksheetNeededif:: DSys Dev Eval ❑Traffic Mit Eval . IL7Site Work or Drainage Proposed Approved By: Date: DBackflow Prevention for high hazard: _(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: 0 A Separate PW Permit is Required (Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder O Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(loin 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: ' '(p Date: ff /Z El Public Works has no scope---PW Not Required f Additional Notes: -,-.Y1,1 et 0 to de-, ELECTRICAL c/rsp 044 v- Additional Notes: Approved By: Date: Approved By Date: 9171l 22A r �Z.