6623 EVERGREEN WAY US BANK 2026-01-16

►stake & Approval Sheet FOR PERMIT STAFF ONO) PERMIT# �� �,0 -n05 pP � BUILDING PLANNING* Intake OK by: Date: Intake OK byea6 Assign To: Date: !i Intake Comments: Intake Comments: 14 ❑ 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 71 Zone Number of Stories Overlay/Agreement i Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: I Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: [I 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: ❑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 ❑ No ❑Everett School Dist ❑Mukiiteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ S J-o DO SVf d Approved By: Date: PUBLIC WORKS- Intake OK by: Date: IN Intake Comments: P -� Additional Notes: � W Worksheet Needed if., rOSys Dev Eval ❑Traffic Mit Eval 10Site Work or Drainage Proposed- Approved ,^ Date:�7T �� 1OBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) - FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I 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: ElThis 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 Coin%vith 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: Date: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: