7807 EVERGREEN WAY LAUNDRY GENIUS 2023-03-30

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT # BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing El New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 does required prior to final? 11Yes ❑No VALUATION CALCULATION: Total s �ZZ 77 Additional Notes: Approved B �� Date: IVO FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers []FireAlarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: i Date: Cp- ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To:_ Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer El-nK to Route to Other Departments Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By: Date: 2' 1W PUBLIC WORKS Intake OK by:. Date: ..._,_...,,................ ... .._._......,..,................_..._.......... Intake Comments: pW Worksheef Needed if: ;Sys Dev Eval []Traffic Mit Eval =OSite Work or Drainage Proposed =OBackflow Prevention for high hazard: _(dental, medical, animals, mortuary, hospital, 'supportive housing) ..,.,,..m.,_........................................ W...... .,...,.,..............................._,.. El Route this folder for PW Review at end --- PW Review Worksheef ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (join with this folder for permit issuance) ❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: 0