6727 EVERGREEN WAY BIG LOTS 2019-09-05

Intake&Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# MACtO —0 L BUILDING PLANNING Intake OK by:_ Date: Intake OK by: v..t--1. Date: 1 -1 .- Intake Comments: Intake Commeveil' ts: W Assign To: - ,1 APIAr b v d sizes ,�oC- p eTU 5� Sceee J ❑Route to Commercial Building 0 Attach to Project No. ❑Route to Residential Building 0 Route to Historic Reviewer ❑Make this a"W' Permit OK to Route to Other Departments 1-IK-I' Bldg/TI/Addn/Rem Size Hold in Planning File Drawer Garage/Accessory Struct. Size, Zone _-I__ M.QC) Number of Stories Overlay/Agreement M U O Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use 0a-A Type of Construction Residential Use Occupancy Group 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: ❑Update Existing ONew System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cre . . RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑Mu eo School Dist ry�y �/I. Add]RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: •j(( ad-I 6rA\1 Na_ t,-,«.ray VALUATION CALCULATION: Total $ (dna .t^ c16r �o r^ 1 XiS ; _, 1 ' Q.Approved By: "4 Date: 3-Z 7-I1j PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: i PW Worksheet Needed IF. CISys Dev Eval OTraffic Mit Eval `CISite Work or Drainage Proposed Approved By: �)>-/ Date: i I✓% i,?r 10Backflow Prevention for high hazard: :(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 ❑Create 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 ❑Not Req'd 0 Is in a Separate Green Folder (join with this folder for permit issuance) Additional Notes: /VO 1 .c.=' ❑ Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By:xAlrwh Date:/.2 /7 'Public Works has no scope_--- PW Not Required Additional Notts / 5/.,,/ ` 4--/.3 1 zo 1Q ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 3/3)