1001 SHUKSAN WAY US FOODS 2022-01-14

Intake &Approval Sheet (FOR PERMIT STAFF ONLY • PERMIT# M2.I0 5-00 J" BUILDING PLANNING e Intake OK by: Date: Intake OK by:1// _ Assign To:HW 6, Dates . )O -Z621 Intake Comments: Intake Comments: ❑ Route to Commercial Building El Attach to Project No. ❑ Route to Residential Building ❑ ute to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 1.-V2 Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use 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: Amount$ Fire Alarm: El 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? ❑Yes ❑ No El Everett School Dist ❑Mukilteo School Dist Add.'RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: y b�v, VALUATION CALCULATION: Total$ it o e rr tt.Qi1Gi[ IG-LQ,ytt4.v(-F �"-�� /I axed Approved By:i4 Date:5'10- ?a2-/ PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: ;PwWorksheet Needed if: OSys Dev Eval ❑TrafficMit Eval I/-IOSite Work or Drainage ProposedApproved By: Date: $ i ;(dental,medical,animals,mortuary,hospital, !supportive housing) FIRE DEPARTMENT El 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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder OSubmitted Previously ODeferred 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 ❑ 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: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: