200 W MARINE VIEW DR ON TRAC LOGISTICS 2025-09-16

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# (J1-2DS O(oZ BUILDING //-� PLANNING Intake OK bks,/ , Date: flG /� Z y�Z Intake OK b Assign To: .1 Date: Intake Comments: / Intake Comments: Route to Commercial Building-" bita4 )t,g ❑ Attach to Project No. Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bl.g e ddn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone irt t Number of Stories / Overlay/Agreement Basement 'KINo ❑Yes , Fin/Unfin Nonresidential Use L) c-c�L. „`5Q Type of Construction 5- a' Residential Use _� _ Occupancy Group ffi/Y",/ Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers:'Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes 'No Reason Sprinklers Required: "In Lieu" Fee:Type:__ Amount$ Fire Alarm: ElUpdate Existing DI New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No El Everett School Dist DMukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑�1Yes ❑ �S At.- No Additional Notes: 0FF,, i� c�.10 pis M-3 /s 7r t VALUATION CALCULATION: Total $% l�Cc_€_SSo(—'-I i...Sc C,tJ`--- iicp\_ ,-, fs5 fz 2 Approved By: �—=3 Date: 'j' a / • Z Z PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval 3❑Site Work or Drainage Proposed �,� : ,8 ❑Backflow Prevention for high hazard: Approved B /�✓� Date1/G/��rt'7 Z_ =(dental,medical,animals,mortuary,hospital, isupportive 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) 121 ire Sprinklers ZFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 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 0 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: K,gcol.tpn Date: 6. /- 2 ErPublic Works has no scope--- PW Not Required Additional Notes: ,-;` „.,,, -PN! Lo f I- o Z+ ELECTRICAL/PLUMBING T(244,s:si« .r.V.. ,As 10.+oto+Esb.+sE_ uMO..¢ Additional Notes: -1,2-01l-0(5. ',1,e_i `511Zi i Approved By: Date: Approved By: Date: