1130 SE EVERETT MALL WAY BEST BUY 2023-06-12

Intake & Approval Sheet *(FOR PERMIT STAFF ONLY) $ PERMIT # g uo-a0 4 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 El Not Req'd Reason Sprinklers Required: Fire Alarm: ❑Update E:osting ❑New System El Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required priorto final? ❑Yes ❑No VALUATION CALCULATION: Total $ 90 00o6 0 Additional Notes: Approved By: Date: A/b,i 2�7 FIRE DEPARTMENT Separate / Deferred Submittals Required: ire Sprinklers ❑Fire Alarm ❑Other: le y, Additional Notes Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / In ection Scope - ADD FIRE FEE Approved B Date: /o JS' Zd ELECTRICAL Additional Notes: Approved By: Date: PLANNING 01P Intake OK by: Assign To: /_ Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer Im"OK 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: (V 0 e94efrC1r (/�(i: ,� or U�e_ 19 Approved By: 64P> Date: W PUBLIC WORKS' Intake OK by: Date: .,..,,.,...,.................. ........... .-,....._..,,........,.,........... Intake Comments: €PW Worksheet Needed if., l]Sys Dev Eval OTraffic Mit Eval ![]Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: :(dental, medical, animals, mortuary, hospital, :supportive housing) ❑Route this folderfor PW Review at end --- PW Review Worksheet ❑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 folderfor permit issuance) ❑ WIII be Issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: