7514 EVERGREEN WAY 2021-09-22 - Laserfiche WebLink

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# ZCSC)S -O 3 61 BUILDING PLANNING Intake OK by:` _ Date: OS/07/2o/& Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building ❑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/Tl/Addn/ ize /'700 sr ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size-/ .A/� Zone G ^ t Number of Stories / Overlay/Agreement 1 Basement elNo ❑Yes, Fin/Unfin Nonresidential Use Ce vA- Type of Construction (1$ Residential Use Occupancy Group tl 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 IINo Reason Sprinklers Required: AtrATAdC p—m-tr "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ONew System I3Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: ffjtuti✓�d - "6 r/- Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No DEverett School Dist ❑Mukilteo School Dist. Add'I RCW 64.55 docs required prior to final? ❑Yes ISINo Additional Notes: VALUATION CALCULATION: Total$ I-j''OG' e Approved By7 ', Date: c"[`l- 1,1,003' PUBLIC WORKS Intake OK by:_�F Date: R',71 2018° Additional Notes: Intake Comments: PW Worksheet Needed if: No ❑Sys Dev Eval ❑Traffic Mit Eval �\�^ ❑Site Work or Drainage Proposed Approved By/%�� n Date:©P�/zp�„Q y �,e� ❑Backflow Prevention for high hazard: 4�� 'Y / v� (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute 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 OSubmitted Previously ❑Deferred ❑Sending Fire Notes to Project Team ❑ 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 ❑New System 12Not Req'd ❑ A Separate PW Permit is Required(Permit#: PW ) Fire Alarm: El Update Existing ❑New System 12 Not Req'd AND 0 Is 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: ��..�,5 Date: f;_(4—(EN ublic Works has no scope PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: ?4Z./.