10 SE EVERETT MALL WAY BASE FILE 2025-04-14

I Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) 0 PERMIT#10 2401° °14) BUILDING PLANNING I Intake OK by: Date: Intake OK by/ Assign To: ri Date: 11/4/2.4 Intake Comments: Intake Comments: rriF0 50 CIRoute to Commercial Building JS 60' ❑ Attach to Project No. ❑ Route to Residential Building0 El Route to Historic Reviewer CI Make this a"W"Permit S✓` i bO'r OK to Route to Other Departments Bldg/TI/Addn/Rem Size / IJ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone E.— 13 ,AegS Number of Stories 7 Overlay/Agreement Basement 'No ❑Yes , Fin/Unfin Nonresidential Use G CQ- Type of Construction V— /3' Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load f, 2 50 Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System SNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: Update Existing El New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: T� .F.k. kV' Wisluti Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 'Jo ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ 1 9 00, Approved By: OJl J Date: 1 2/q 201-0 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval 1❑Site Work or Drainage Proposed Approved By: 4 Date: --A.. ❑Backtlow Prevention for high hazard: 0 6 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) ❑Fire Sprinklers OFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ODeferred 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 ❑ 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 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: ., C,,KI Date: /2-6) 0 IZPublic Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: ACE''tJ Date: 11123(20