9605 EVERGREEN WAY PACIFIC MARKET 2023-06-20

STAFF ONLY) • PERMIT '. ?'OO i • Intake & Approval Sheet (FOR PERMITS F # , W �� BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: C€ Vcci cw\\\1 ❑ 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 ❑ 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 Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee: Type: Amount$ Fire Alarm: El Update Existing ❑New System El Not Req'd School Impact Fee• Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? El Yes ❑ No ❑Everett Sc-ool Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? El Yes ❑No Additional otes: VALUATION CALCULATION: Total$ ,()Zvi Approved By: Date: \. 22., D f_.Q PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: iPW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval DSite Work or Drainage Proposed Approved Bye•`�!�y. ,. Date: O� '.i ;c ' A _❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, 'J I 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 El Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: El This Permit is Approved by Public Works 0 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) ❑ Review/Inspection Sc e-ADD FIRE FEE ❑ Will be issued separately(separate Green Folder,PW issued ahead of Bldg) Approved By: 5 •'_,.., Date: Z/./-1 ZD Public Works has no scope--- PW Not Required --5 0Sc/ Additional N tes:S octrojE, PUbZ, works ,'mall totti ELECTRICAL if art 0, v 0� par/Ay ditA Additional Notes: n t: Approved By: Date: Approved By: . ).- --- Date: 213720Z.0 z 2)-