1205 BROADWAY WELCOME EVERETT INN 2021-10-25

Intake & Approval Sheet 110 (FOR PERMIT STAFF ONLY) II PERMIT# VI' 1 I-'V Cl.' BUILDING PLANNING Intake OK by: 8,f Date: Intake OK by: Assign To:-/CH.J1�.( Date: id/2M/lc( Intake Commen :: Intake Comments: 4 ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit IQK to Route to Other Departments B g I/Addn/Re Inn gEP ,,(41 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size ,,t//A Zone F31\1 0 Number of Stories 2 Overlay/Agreement Basement ®No ❑Yes, Fin/Unfin Nonresidential Use IrnQ-I-eI Type of Construction V4 Residential Use Occupancy Group ,Q-/ Proposed No.of Dwelling Units: Occupancy Load 449 Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System E'Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes PJJo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System Jallot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes a No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes EiNo Additional Notes: VALUATION CALCULATION: Total$ ZS 000.00 Approved By: Date: 16 1 2.1 PUBLIC WORKSAg Intake OK by: V Rh1 Date: I% 14 I2 019 Additional Notes: Intake Comments: PW Worksheet Needed if: oZE?"-cac.C.. ' o5i 1,,,_N '❑Sys Dev Eval ❑Traffic Mit Eval No.1 ii.l..11.-.4-1A--i !❑Site Work or Drainage Proposed Approved By1.\- 1. ,� Date: r� ey�wr9 =❑Backflow Prevention for high hazard: / :(dental,medical,animals,mortuary,hospital, !supportive 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) ire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred _a Additional s: 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 E FEE AND 0 Is located in this folder ❑ Minimal or No Fire Scope-NO FIR EE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE F ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: EiPublic Works has no scope---PW Not Req 'red Additional Not /t + 120 t 4 ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: