11114 EVERGREEN WAY TOUBA BAKERY 2023-04-06

3sin- Intake &Approval Sheet • (FOR PERMIT STAFF ONLY) ii PERMIT# CeJ`Ctk,\ _-dw BUILDING PLANNING Intake OK by: 044" Date:1 2 1,49 Intake OK by: Assign To: Date: Intake Commen 0 Intake Comments: El Route to Commercial Building ..) ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 7,-,pp 44-' ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size — Zone ('j \ Na.0) Number of Stories Overlay/Agreement Basement �� No ❑Yes, Fin/Unfin Nonresidential Use S"j cP \` 1 Type of Construction S./I5 Residential Use I Occupancy Group 13 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 lNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: IZ 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 J No ❑Everett School Dist ❑Mukilteo School Dist Add'i RCW 64.55 docs required prior to final? ❑Yes (2 No Additional Notes: VALUATION CALCULATION: Total$ 2-fz� Approved B ----T. Date: \S .zL.Z' PUBLIC WORKS Intake OK by:`-I—\ Date: Q 1 (' ±- 20 i Gt Additional Notes: Intake Comments: iPW Worksheet Needed if: DSys Dev Eval ❑Traffic Mit Eval -CV!P,a..)c-1r- Of ....)SC o i�Site Work or�rainage Proposed Approved By: Al `-k ' A-N-014 SI C' t DBackflow Prevention for high hazard: pp ,% Date: II/go/Lc? (_t2s--TAtL) --r,D, � }"4-1 dental,medical,animals,mortuary,hospital, _.0c.G",.Pr.A1C Lc,0,,v $E� isupportivehousing) Am)ga..•i15.:2A-r.�A faA.o ."*."r... ,.."b................_..._..... ........,.,....................,,..........__... ._...._.._...... 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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public,Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 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 coin with this folder for permit issuance) ,Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:// i/) Date://47< 9 Public Works has no sco e---PW Not Re uire Additional Note • it 9— (2a(9 ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: