221 SE EVERETT MALL WAY RED WING SHOES 2019-03-21

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# S I ?O 006. BUILDING PLANNING Intake OK b /k• Date:0 / f3 Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bld)/ ddn/Rem Size / GIGS" 4? 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone C.— V Number of Stories I Overlay/Agreement Basement giNo ❑Yes , Fin/Unfin Nonresidential Use Ce ,.i\ Type of Construction V—3 Residential Use Occupancy Group fry? Proposed No. of Dwelling Units: Occupancy Load /"`jam Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑,INewSystem I��JNot Req'd Planning/Landscape Inspection Required before ' I? ❑Yes IENo Reason Sprinklers Required: cavo "In Lieu"Fee:Type: _---------- mount$ Fire Alarm: ❑Update Existing ❑New System ptNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: c1) -(ejr---6 Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes &No ❑Everett School Dist ❑Mukilteo School Dist. Add'I RCW 64.55 docs required prior to final? DYes ERNo Additional Notes: VALUATION CALCULATION: Total$ tin ova y -rte Approved By: Date: CS-7a ,Z,CA, { PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake eCCo�mme tss: t>A,}..� PW Worksheet Needed if: c,�`T�, K.JC.- ID �C�`^^ \ *Nis Dev Eval ❑Traffic Mit Eval Mite Work or Drainage Proposed CL i �^ Approved By: e___"...-- -- Date: -7 fp%gIs i r w / /Gtr (]Backflow Prevention for high hazard: s/inept (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND OCreate Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Z____447.5 Date: 7J '` Approved By: sish -- Date: g'(f lovg