1605 SE EVERETT MALL WAY WALMART 2022-01-14

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY • PERMIT # BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'] RCW 64.55 docs required prior to final? ❑Yes ❑No VALUATION CALCULATION: Total $ B OOQ OCl Additional Notes: Approved By Date:O% �ZD FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑Other: .A, Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING, �i Intake OK by: Assign To: Date: Intake Comments: wim( U y 1 Y vv! ��ulJ �/�► g�oyy', ❑ Attach to Project No. Route to Historic Reviewer OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone (� — Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes o "In " e: Type: Amount $ School Impact Fee: Calculated: ❑E tt School Dist ❑Mukilteo School Dist dditional Notes: Approved By: Date: —j 2-9 PUBLIC'WORKS Intake OK by: Date: Intake Comments: PW Worksheet Needed if., i❑Sys Dev Eval ❑Traffic Mit Eval i i ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: ,(dental, medical, animals, mortuary, hospital, supportive housing) []Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND [Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (join with this folder for permit issuance) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: 'Z_.