10121 EVERGREEN WAY PIZZA HUT 2021-11-02

• /7t Intake &Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# ' `G `�DO ` rn BUILDING PLANNING Intake OK b Date:ap/V‘/249/q Intake OK by: YAr Date: l' o—l'1 Intake Comments: Intake Comments: Assign To: V-• 13011/ 60(en AO-Z/4\S— ‘I/Vroff.4 ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone E-1-i`1 U O Number of Stories Overlay/Agreement 1"Io-0 Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use is-es ,r044r 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: Amou Fire Alarm: ❑Update Existing ❑New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Cre ' . RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilte School Dist Add'I RCW 64.55 does required prior to final? ❑Yes CI No Additional Notes: Q1-'05 1 SC teak 199 VALUATION CALCULATION: Total$ 2, 11-�,�,Dt,` Approved By: ►`�1 1k`1(1 •ate: tto l PUBLIC ORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: Date: 0 / I ❑Backflow Prevention for high hazard: + (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folde for PW Review at end PW Review Worksheet Separate/Deferred Submittals Required: ❑This project a o has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Creat- Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ This Per it is Approved by Public Works 0 See P/ Review Worksheet and associated attached items Fire Dept. Fees: ❑A S-parate PW Permit is Required (Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ 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 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: V Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: