9605 EVERGREEN WAY PACIFIC MARKET 2023-06-20

r Intake &Approval Sheet0 (FOR PERMIT STAFF ONL I PERMIT# 602 00i -00't pp � BUILDING PLANNING , Intake OK by: Date: Intake OK b}J i Assign To:OeCR_ Date: ZZ.ZO2O• Intake Comments: Intake Comments: tRi L rt ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction V '}',fr Wit Residential Use Occupancy Group PI 4/44A44 ‘ Proposed No.of Dwelling d nits: Occupancy Load Total No.of Dwelling , its: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landsc-•e Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:T ge: Amount$ 1 Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impa Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Adds'RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: &S Uetfr N &te...% (c O QZeJ&. VALUATION CALCULATION: Total$ evAl LAvkof -40 . N A43, Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW worksheet Needed if: I❑Sys Dev Eval ❑Traffic Mit Eval J❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: Date: 30 ZO?-d (dental,medical,animals,mortuary,hospital, /V /LA 'r supportive housing) 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: ❑ 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) l'Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(separate Green Folder,PW issued ahead of Bldg) Approved By: ki9a76✓11 Date: 1• �Z6•2f ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: