1302 SE EVERETT MALL WAY ULTA 2025-07-31

Intake &Approval Sheet -FOR PERMIT STAFF ONLY) I PERMIT# 221.0"b 35 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 ❑ Route to Historic Reviewer ❑ M1e this a"W"Permit ❑ OK to Route to Other Departments Blt.F l kddn/Rem Size Id all /5IF 0 Hold in Planning File Drawer Garage/Accessory Struct.Size ,t.,4 . Zone Number of Stories rram� / Overlay/Agreement Basement IlNVo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction ,O—.5 Residential Use Occupancy Group /11/ /51 Proposed No.of Dwelling Units: Occupancy Load POI Total No.of Dwelling Units: Fire Sprinklers: 1��f pdate Existing ❑New System ONot Req'd Planning/Landscape Inspection Required before ' al? ❑Yes ❑No Reason Sprinkl rs Required: "In Lieu"Fee:Type: A unt$ Fire Alarm: Pupdate Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cr it: RCW 64.55 MF worksheet req'd for permit? ❑Yes No ❑Everett School Dist ❑Mukil o School Dist Add!RCW 64.55 docs required prior to final? ❑Yes 'No Additional Notes: ft0 f046,--CQje3 VALUATION CALCULATION: Total$ /2- 00Q 56 Approved By: 1-lejAdi Date: 16 1t �� PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: IDSys Dev Eval DTraffic Mit Eval I DSite Work or Drainage Proposed Approved B Date:/l� zofz_� ❑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 I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) 'ZIFire Sprinklers Fire Alarm DOther: AND ❑Create Green Folder ❑Submitted Previously ODeferred Additional Notes: ' 0 This Permit is Approved by Public Works VCS cl'4A ❑ 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/I ection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW Issued ahead of Bldg) Approved .✓k, ` Date: z. jb°ZL 0 Public Works has no scope---PW Not Required .-, , ' Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: