6220 EVERGREEN WAY VALUE VILLAGE 2020-02-07

Intake&Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#\kptO 'CS1 BUILDING PLANNING Intake OK by: Date: 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 Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone .1- H 00 Number of Stories Overlay/Agreement i`ikuJ Basement ONo ❑Yes, Fin/Unfin Nonresidential Use y 'iA,ll 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 ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ONo Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ __ _ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ONo Additional Notes: fI_ - ' VALUATION CALCULATION: Total$ /1'400,Oc A �� ryl.nt ��'�r � Approved By: h: \ Date: IP-1()-1% PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet rksheet Needed lF. OSys Dev Eval [Traffic Mit Eval A / Site Work or Drainage Proposed PP �:�ld 11f/��/1: � : Backflow Prevention for high hazard: Approved B `�\! Date: !(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 Preilminaly 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: OUpdate Existing ❑New System 0 Not Req'd AND 0 Is located in this folder Chemical Sup: ❑Update Existing ONew System 0 Not Req'd 0 Is in a Separate Green Folder (join with this folder for permit issuance) Additional Notes: 0 Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: j 7z..._