1604 BROADWAY EL GARCIA MARKET 2025-04-11

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# Q ez0le-•41969 BUILDING •. PLANNING • . - - . - Intake OK by: Date: Intake OK<WI_ Assign To: Date: f ici Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" ermit 0 OK to Route to Other Departments Bldg/TI/Adt (Rem Siz Z.4(OO lfeC 0 Hold in Planning File Drawer Garage/Accessory Struct.Size /�� Zone I,U Number of Stories / Overlay/Agreement Basement lEiNo DYes, Fin/Unfin Nonresidential Use . al0 P - Type of Construction - Voe Residential Use Occupancy Group fr Proposed No.of Dwelling Units: Occupancy Load 21 Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing [hew System glNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ONew System . Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes IN No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes siNo Additional Notes: VALUATION CALCULATION: Total$ 7D VoO,OV Approved By: Irate: PUBLIC WORKS'- u Intake OK by:'T 1,-$ Date: $( iq P.""I't- Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑TrafficMit Eval • • �'o �"'4 ` g GO®� ❑Site Work or Drainage Proposed• i.- Approved By. 1 Date: m„B�Z//o2 Z___ ".%p 0.4' S IDBackflow 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 1 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 ❑Referred Additional Notes: /f�0 Se0PC' 0 This Permit is Approved by Public Works . 3 0 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 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder{join with this folder for permit issuance) ❑ Review/Ins ection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved /- Date:2�/Z/ZOZ'Z.. Z-Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: '� 8 /0 (4-0 2.4 Approved By: Date: Approved By: Date: