10121 EVERGREEN WAY PIZZA HUT 2021-11-02

• Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#`"V��C��— l r`.. BUILDING PLANNING Intake OK by: 14/1- Date: Oeya5 . 9 Intake OK by: VA' Date: I Intake Comments: Intake Comments: Assign To: Qui) Svex"A: Jt %n4ory.ed Gron ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit gi OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone -l-ilvO Number of Stories Overlay/Agreement MOO Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use (.,.? -)C61 fi}---- 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 ONot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type:_ A nt$ Fire Alarm: ❑Update Existing ❑New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: edit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑ ilteo School Dist Add'I RCW 64.55 docs required prior to final? Yes No Additional Notes: ��3 U'C .9. ne, VALUATION CALCULATION: Total $ ter Approved By: F• Date: )(•2sr, i t P BLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑ affic Mit Eval ' /� ❑Site Work or Dr.' age Proposed Approved By: / Date: it p` ' -/ I'1 ❑Backflow Pr; ention for high hazard: 110 l (dental,medi .,animals,mortuary,hospital, supportive..using) FIRE DEPARTMENT El Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate co urrent PW Review(Green Folder) CI Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑S.•mitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by P blic Works 0 See PW Review Worksh=-t and associated attached items Fire Dept. Fees: ❑A Separate PW Permi is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located i his folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a S:.arate Green Folder(loin with this folder for permit issuance) .Review/Inspection Scope-ADD FIRE FEE ❑Will b: issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: j<.3roc)fl Date:f0—i 19 ❑ Public W. s has no scope---PW Not Required Additional •tes: ELECTRICAL Additional Notes: Approved By: Date: App oved By: Date: 272