7825 EVERGREEN WAY EUROPEAN GROCERY 2023-06-22

Intake &Approval Sheet 410 (FOR PERMIT STAFF ONLY) • PERMIT# CZ-?-'° -a3� BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: _ Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ i,- e this a"W" Permit • ❑ OK to Route to Other Departments B ,. I/'ddn/Rem Size 3 3o O ❑ Hold in Planning File Drawer i /1 Garage/Accessory Struct.Size / AgP Zone Number of Stories l Overlay/Agreement Basement ,IINo ❑Yes, Fin/Unfin Nonresidential Use Type of Construction , a Residential Use Occupancy Group /4 Proposed No.of Dwelling Units: Occupancy Load Sur Total No.of Dwelling Units: Fire Sprinklers: ,update Existing ❑New System Mot Req'd Planning/Landscape Inspection Required before Final? ❑Yes Clo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: 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 In No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes .51/No Additional Notes: jviy cr — o'u) ' .\) VALUATION CALCULATION: Total$`j MI0.00 li, A _ 0i1 a_ e/ Approved By: t., Date: tv.-�i Zt. LIC WORKS Intake OK by: Date: (a ltS 114)1/1-- Additional Notes: Intake Comments: PW Worksheet Needed if: l 4-"'"i 4b .r sue- tElSys Dev Eval ❑Traffic Mit Eval ,v o cov S cos rG IDSite Work or Drainage Proposed `oBackflow Prevention for high hazard: Approved B �� Date:�,8/ ��Dy (dental,medical,animals,mortuary,hospital, !supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end --- PW Review Worksheet Separate/Deferred Su mittals Required: ❑This project also has a separate concurrent PW Review (Green Folder) El Fire Sprinklers Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: IV , ElThis Permit is Approved by Public Works _C 0 e.cc,\ a D ee✓. ',Q ElSee 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 Scope-ADD FIRE FEE ❑ Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: ,rnl 4 iYl Date: 7 - j q;22 :: Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: . � d Cv 4,5-'fid1,- - Approved By: Date: Approved By: Date: