6727 EVERGREEN WAY BIG LOTS 2021-02-22

• 0 Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 0 lci D -004 BUILDING PLANNING Intake OK by: Date: Intake OK by: 6L-115 Date: (Q /17// 1 Intake Comments: Intake Comments: Assign To: 441 q ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit ,"OK to Route to Other Departments Bldg/TI/Adc`n/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement ❑No DYes , Fin/Unfin Nonresidential Use CO{ 6'rGi i ',A G4'Yti7 Type of Construction Residential Use —' Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: DUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? DYes Jo Reason Sprinklers Required: "In Lieu" Fee: Type: amount$ /// Fire Alarm: DUpdate 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? DYes 0 No DEverett School Dist DMukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes ❑No Additional Notes: VALUATION CALCULATION: Total $ Approved By: [" Date: -1/2 /r 7 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: l „� _ ` `?t )N C -4--`q— Lcl ❑Sys Dev Eval ❑Traffic Mit Eval IvL_W v w� 1 v� 1!�q/r/i 7, DSite Work or Drainage Proposed Approved By: Date: (. /(yi.4t ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works r fb r /j�t &i 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: U ❑ A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans- NO FIRE FEE AND 0 Is located in this folder ❑ Minimal or No Fire Scope- NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ 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: naN'd Approved By: Date: Approved By: Date: — �`.1 (21Z�