10633 EVERGREEN WAY 2020-05-18 - Laserfiche WebLink

Intake &Approval Sheet _ (FOR PERMIT STAFF ONLY) PERMIT# ibi gip -021 BUILDING PLANNING / Intake OK by-)4 Date: /0c�/Zo/•d Intake OK by: Date: �6 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 OK to Route to Other Departments Bldg/Tr taia Rem Size S4O .$+ Hold in Planning File Drawer Garage/Accessory Struct. Size — Zone r Number of Stories Overlay/Agreement Basement r?iNo ❑Yes , Fin/Unfin Nonresidential Use '— ,4J O 5r,te, Type of Construction IL— . Residential Use Occupancy Group F - Proposed No. of Dwelling Units: Occupancy Loa 2- Total No. of Dwelling Units: Fire Sprinklers:JJUpdate Existing ❑New System El Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinkl rs Required: "In Lieu"Fee:Type: Amount$ / Fire Alarm: OlUpdate 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 n No ❑Everett School Dist ❑Mukilteo School D' t Add''RCW 64.55 docs required prior to final? oyes kNo Additional Notes: 6 °\ , ,M4 -eXi + b.A\'f `ham" VALUATION CALCULATION: Total$ 5'S,o� } c J Approved By: y....44 Date: 2,-6.11 PUBLIC WORKS Intake OK by: 'T*4 Date: fair bIZo r% Additional Notes: Intake Comments: PW Worksheet Needed if: r40,04 S14Ea "so. ❑Sys Dev Eval ❑Traffic Mit Eval Eias-r.64t,. 7ANI f,a� ❑Site Work or Drainage Proposed Approved By: Date: I l/� lg 54o SF ❑Backflow Prevention for high hazard: ' (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT LJL]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) E3 Route to Fire Drawer---Fire Preliminary Review Notice AND E3 Create Green Folder ❑Submitted Previously E3 Deferred ❑Sending Fire Notes to Project Team PL 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:P.Update Existing ❑New System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: 1pdate 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) `r ' 'f Approved By: ^' .jt j Date: ii/n9 rf 0 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved :, `; ` i _, --':!' j Dater 1 Z G 11