9602 EVERGREEN WAY IMRANS MARKET 2023-12-07

Intake &Approval Sheet 0 (FOR PERMIT STAFF ONLY) 0 PERMIT# 92 l dH- 632- BUILDING PLANNING Intake OK by: Date: Intake OK by:ala Assign To:ft - Date: +' ?.O� Intake Comments: Intake Comments: / 0 Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building 0 -jute to Historic Reviewer ❑ Make this a"W"Permit t OK to Route to Other Departments Bldg/TI/Addn/Rem Size liV 1L"" 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone IY U Number of Stories r Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use 6(d C ts_f tSiVrei iX I! 0 11 , Type of Construction V Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load 14/A Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing Chew System VNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes Cho Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ONew System 9Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: . Calculated: Credit: RCW 64.55 MF worksheet reqd for permit? ❑Yes DI No 0 Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ 701 a es Approved By: �'"""'"��/ Date: 01 I-1/ v l PUBLIC WORKS" Intake OK by: Date: Additional Notes: Intake Comments: DPW Worksheet Needed if: 669) f^G i„,(�-I— OI G had I (]Sys Dev Eval ❑Traffic Mit Eval � I DSite Work or Drainage Proposed Date: CIBackflow Prevention for high hazard: Approved By: l /�� l(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT DRoute 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 .7 ❑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(loin with this folder for permit issuance) 0-Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: , (,v8(\ Date: -R;,2/ n Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: \ Approved By: Date: Approved By: Nik Date: t. ( o f?\ Z4