906 SE EVERETT MALL WAY CONSUMER DIRECT 2025-01-24

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) e " PERMIT# 6 2 —b/ S^ BUILDING PLANNING • Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size I en 4-04 0 Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone Number of Stories tP Overlay/Agreement Basement OrilNo ❑Yes , Fin/Unfin Nonresidential Use 0 l` 9-- Type of Construction — f? Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load 2 9 t7 • Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ONew System 11lmkot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: Et Update Existing ONew System ONot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 21 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ZI No Additional Notes: 1 n ,ni -refv,,r"1' 1 r m -- VALUATION CALCULATION: Total$ Ol ere, p.� _ L, fe it e( W` ,'2 \-- Approved By: Date: tt.u �Z UBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: IDSys Dev Eval ❑Traffic Mit Eval • ID Site Work or Drainage Proposed Approved By: Date: �r,?3, 2 � i❑Backflow 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) ❑ lFire Sprinklers Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 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: K cc,,t, ') Date:5./0;,,22 Iblic Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved Byy ,� - Date: a /31 zz,2 2 / z-