1010 SE EVERETT MALL WAY UNITED SEATTLE 2025-03-25

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# SaZ3oS-pow BUILDING PLANNING v2�ps Tam Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No,of Dwelling Units: Bldg/TI/Addn/Rem Size Total No,of Dwelling Units: Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes []No Number of Stories "In Lieu" Fee:Type: Amount$ Basement El No ❑Yes, Fin/Unfin School Impact Fee: Total $ 1__� Type of Construction Calculated: Credit: Occupancy Group El Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for perm applied for after 1/112022: Fire Sprinklers: ❑Update Existing ❑New System ❑Not-Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): ............................................................................... Fire Alarm: []Update Existing ❑New System ❑Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.63.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF vyorksheet req'd for permit? ❑Yes ❑ No Ll 50%Credit-Issued 3/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes []No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ Additional Notes: OP 2 Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: _.... ----- --- --------------- - Intake Comments: ;PW Worksheet Needed lf. CISys Dev Eval(Utll/SW)OTraffic Mit Eval Approved By: G , Date: C7 -4-3 USite Work/Drainage ElAddress Letter ❑Backi'low Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT :supportive housing) '----------------------------------------- Separate I Deferred Submittals Required: ❑Route this folder for PW Review at end ---PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑This Permit is Approved by Public Works Fire Dept.Fees: ❑ See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit#: PW ) ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW Issued ahead of Bldg) ❑ Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: