7725 EVERGREEN WAY BIG BOX OUTLET STORES 2023-04-06

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#b 2362 -° S BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: pat,. Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W" Permit t,$(eN.�c Proposed No. of Dwelling Units: BI•a/TI/A 4dn/Rem Size - of Dwelling Units: GarAccessory Struct.Size Ianning/Landscape Inspection quired before Final? ❑Yes ❑No Number of Stories ' J "In Lieu"Fee: Type: Amount$ Basement ni, o ❑Yes , Fin/Unfin School Impact Fee: Total '. Type of Construction s Calculated: Credit: Occupancy Group k ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load_ tO0 D We�6S Park Impact Fees for .ermits applied for after 1/1/2022: Fire Sprinklers: L I Updatee Existing El New System, Not Req'd Park Impact Fee Total :i (net due after credit for existing uses) qI Reason Sprinklers R Ped45) Fee Schedule Used or Calculation(Year): Fire Alarm: Update Existing .�❑. New System 1'�lot Req'd Permit Technic' use only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Requ red: ❑ 100%Cr:dit Issued 1/1/2022 9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No 0 50% redit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? // Yes n/\�)\dditio❑ 0°,Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total S (,� ,al Notes: Approved By: Date: • PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Nee..d if: ❑Sys Dev Eval it/SW)ElTraffic Mit Eval Approved By: , a • 41-12,72) ❑Site Work/D ainage ❑Address Letter ❑Backflo Prevention for high hazard: (dental,• edical,animals,mortuary,hospital, FIRE DEPARTMENT supp•'hie housing) Separate/Deferred Submittals Required: DRoute this folder for PW Review - end ---PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: - ❑This project also has a separ. - concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folde ■Submitted Previously ❑Deferred ❑This Permit is Approv'd by Public Works Fire Dept.Fees: 0 See PW Review t,orksheet and associated attached items ❑ Review of As-B ' fans-NO FIRE FEE 0 A Separate P t, Permit is Required(Permit#:PW___________) ❑ Minimal or . Fire Scope-NO FIRE FEE AND ❑ Is I. ated in this folder ADD FIRE FEE 0 I n a Separate Green Folder(join with this folder for permit issuance) El Revie Inspection Scope Appro ed By: Date: U ill be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Put is Works has no scope---PW Not Required ELECTRICAL/PLUMBING Ad.' 'anal Notes: Additional Notes: Approved By: Date: Completed By: Date: