6920 EVERGREEN WAY NORTHSHORE THRIFT STORE 2026-01-05

Intake &Approval Sheet OR PERMIT STAFF ONLY RMIT# BUILDING PLANNING intake OK by: Date: Intake OK by: Assign To: , j J Date: I 71-4 Z Intake Comments: Intake Corrmel4s: Zone g ❑Make this a"W"Permit ❑ SRC Required(Pre-insp) Overlay/Agreement d w 'art BI g/TI/ ddn/Rem Size Nonresidential Use rp—to.a sr tes rz'e ices Garage/Accessory Struct.Size Residential Use N/A Number of Stories Proposed No.of Dwelling Units: N 1A Basement ❑No ❑Yes, Fin/Unfin Total No.of Dwelling Units: n)/A Type of Construction (3 Planningli-andscape Inspection Required before Final? ❑Yes IRNo Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load y�� School Impact Fee: Total $ Cert.of Occpuancy Required? o ❑Yes ❑Shell Only Calculated: Credit: Code Year I❑2021 02018 ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing ❑New System Not Req'd Park Impact Fees for permits applied for after 11112022: Reason Sprinklers Required: Park Impact Fee Total$5577. 60 (net due after credit for existing uses) Fire Alarm: Update Existing ❑New System ❑Not Req'd Fee Schedule Used —For Calculation(Year): 2-OZ cA Reason Fire Alarm Required:ak7& i wL (3,%50X.q51; 1Z3Z.5 — ( 155 —T577.50 r RCW 64.55 MF worksheet req'd for perrriit? ❑Yes O No Add'[RCW 64.55 docs required prior to final? ❑Yes UNo Additional Notes: VALUATION CALCULATION: Total$ 10Ci Approved By: Date:1/2-1 PUBLIC WORKS Intake OK by: Date: Intake Comments: �pWReview&Worksheet Needed if, µ j❑Sys Dev Eva[: II E]Water ❑Sewer []StormAdditional Notes: d -- I0Traffic Mitigation Eval Approved By: 11� Date: oZLC �y� pZ� ,I J 08ite Work/Drainage(shownitriggered) �E)Address Letter f FIRE pEPARTMENT I !013ackflow Prevention for high hazard: Separate 1 Deferred Submittals Required: n0l�A,„,rl�ft �wt 1(dental,medical,animals,mortuary, 9iry wry, LQ•SS U I1hospital,supportive housing) El Fire Sprinklers ❑Fire Alarm ❑Other: L(n Vl 61. kJ Y1 v . , 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 fully digital El Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑Review Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder Goinwiththis folder for permit issuance) Approved By; r r� Date: j - ❑WIII be issued Separately(Separate Green Folder,PW issued ahead of Bldg) 'ublic Works has.no scope on this permit--PW Not Required ELEG-TRICALIPLUMBING A itional Notes: Additional Notes: ` Approved By: Date: Completed By: � ate: O� 23 I