10121 EVERGREEN WAY PIZZA HUT 2021-11-02

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# b 19 O I- oU& yBUILDING PLANNING Intake OK 67 4 Gt_• Date: O f/dC/o/i Intake OK by: Date: Intake Comments: Intake Comments: Assign To: 4QP,0L ZoQWI' TO sied/'t rr 3$rAo41?ttn(rAL sr4 Stier' roe ,26o f,^oDt zc4 rCa✓J. ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bldg f9Addn/Rem Size (Xci 2- . 0 Hold in Planning File Drawer Garage/Accessory Struct.Size — • Zone f-A.NIUZ) Number of Stories 1.- Overlay/Agreement }101) Basement KINo ❑Yes, Fin/Unfin Nonresidential Use ,p.c wrwsAr Type of Construction \f 7 Residential Use Occupancy Group ej Proposed No. of Dwelling Units: Occupancy Load ,2,. Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System RINot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: .f. ►,,'��"�,,,,:. "4 "In Lieu"Fee:Type: Amount$ ' 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? ❑ - r& No ❑Everett School Dist ❑Mukilteo chool Dist Add'I RCW 64.55 docs required prior to final es ' No Additional Notes: ` Tli e as ti s 0...5_ VALUATION CALCULATION: Total$ 21Di Ot17 �, K , `" Approved By: t/ , Date: 9.i.i q PUBLIC WORKS 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: egip_4-I I of ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ID Fire Sprinklers Fire Alarm Other:A\SV I AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept.Fees: ❑A Separate 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 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: k•3vx„), Date: /0`H T Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: 5{ Approved By: Date: Approved By: rf'Yg/Y VAw\ Date: Of/ y2et