7514 EVERGREEN WAY 2020-08-27 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# g2'scg 1 BUILDING PLANNING Intake OK by: Date: g/7.- --Il Intake OK by s Date: Intake Comments: Intake Comments: Assign To: T. ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit It OK to Route to Other Departments 6Idg I/Addn/Rem Size ct 307- ri7 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone - Number of Stories d Overlay/Agreement Basement to ❑Yes, Fin/Unfin Nonresidential Use ce-S\ v r Type of Construction 1/) Residential Use — Occupancy Group A o2 Proposed No. of Dwelling Units: '"'-- Occupancy Load '47 Total No. of Dwelling Units: .---- Fire --rFire Sprinklers: ❑Update Existing ❑New System 41,Not Req'd Planning/Landscape Inspection Required before Final? ❑Y MI() Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing Chew System VNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 2 No DEverett School Dist ❑Mukilteo School Dist ` Add!RCW 64.55 docs required prior to final? ❑Yes 'No Additional Notes:" (� �Q \t Cl.. -,..,CX, VALUATION CALCULATION: Total$ �Ca, dOQ ((.1\A ` e & X ) Approved By, Date:Date: \\_lip. 2O\ PUBLIC WORKS Intake OK by: 5. Date: R/a7/20/R Additional Notes: Intakeomments: PW Worksheet Needed if: PO t f %' ,' tidtj ❑Sys Dev Eval ❑Traffic Mit Eval \�--i I'ZL7/to/d o%µ�' mvis/z�9 iiirai et/un . ,/ ❑Site Work or Drainage Proposed Approved 'T' ,, Date: /0 o�Lozir ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, R6 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---FirePreliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 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 l,r��Not Req'd k' A Separate PW Permit is Required(Permit#: PW 1812"029) Zu Fire Alarm: ❑Update Existing ❑New System Not Req'd AND Kis located in this folder Chemical Sup: ❑Update Existing ❑New System- Not Req'd ❑ 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: `,LA ?, Date: 0c/4g; ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved-B Date: /Z /13/Zpl$ t