2817 ROCKEFELLER AVE ADVANCED MANAGEMENT & AFTER IMAGE STYLING SALON 2025-07-07

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# �j 2://0 5��(0 BUILDING PLANNING Intake OK by: Date:4:0')Lfl(�C�-Z Intake OK by: Assign To: Date: Intake Comments: Lai Intake Comments: Oa Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 1 2_;17, T. 2 ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement ❑No DYes , Fin/Unfin Nonresidential Use Type of Construction )V v4_..t Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load � Total No.of Dwelling Units: Fire Sprinklers: IZI Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes DNo Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: rij Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 1Ul No El Everett School Dist ❑Mukilteo School Dist Add')RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total $ Approved By: . , Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 'PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: cPJ (4a;� OBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, Isupportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end --- PW Review Worksheet Separate/Deferred Submittals Required: DThis project also has a separate concurrent PW Review (Green Folder) OFire Sprinklers ❑Fire Alarm ❑Other: AND DCreate 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) { Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By:K, u1n Date:6--/y'„, ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: Approved By: Date: