9031 EVERGREEN WAY 2021-02-22 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT#(e7�t\ - 02..E 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 ❑ Route to Historic Reviewer Make this a "W" Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use 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 ❑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 ❑ No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: /u i,t,i '� jC.-- yv'19 Intake Comments: PW Worksheet Needed if:/�5 _/6- 'fZ- S_F . c '[ Sys Dev Eval ❑Traffic Mit Eval /U h. I , I. 11 . K EZ�ti) dt`i'?"I fT - OSite Work or Drainage Proposed Approved By: Date: �1— =�0,9U OBackflow Prevention for high hazard: I(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) ❑See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing Clew System 0 Not Req'd ❑A Separate PW Permit is Required (Permit#: PW Fire Alarm: Update Existing ❑New System 0 Not Req'd AND ❑ 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: ❑ 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: /� )