6501 RAINIER DR EVERETT INDUSTRIAL 2025-06-23

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT # M'L�0O () Z 9 BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bld rrl/Addn/Rem Size Garage/Accessory Stmct. Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: []Update Existing []New System []Net Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System []Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? []Yes ❑ No Add'I RCW 64.55 docs required prior to final? []Yes ❑No VALUATION CALCULATION: Total $ ODa, 00 Additional Notes: Approved DateV r r UZ_T FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑ Fire Sprinklers ❑Fire Alarm ❑Other: - Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minima( or No Fire Scope - NO FIRE FEE ❑ Review/ Inspection Scope -ADD FIRE FEE Approved By. Date: ELECTRICALIPLUMBING Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: J2SS Date: 5 Intake Comme Zone U Overlay/Agreement M FTE Area Nonresidential Use Warehouse Residential Use N A Proposed No. of Dwelling Units: N/A Total No. of Dwelling Units: N/A Planning/Landscape Inspection Required before Final? []Yes ®No "In Lieu" Fee: Type: Amount $ O School Impact Fee: Total $ 0 Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Park Impact Fees for permits applied for after 11112022: Park Impact Fee Total $ (7 (net due after credit for existing uses) Fee Schedule Used For Calculation (Year): Permit Technician Use Only: Apply Phase -In Credit Per EMC19.53.200 ❑ 100% Credit- Issued 1/l/2022 - 9/2/2022 ❑ 50% Credit - Issued 9/3/2022 - 6/2/2023 ❑ 0% Credit- Issued 6/3/2023 or later Additional Notes: Approved By: Date: rj /IZ /23 PUBLIC WORKS Intake OK by: Date: Intake Comments: jPW Worksheet Needed it: ❑Sys Dev Eval (utiusw) ❑Tmfdc Mit Eval j❑Site Work/Drainage ❑Address Letter F❑Backflow Prevention for high hazard: ,(dental, medical, animals, mortuary, hospital, !supportive housing) ❑Route this folder for PW Review at end --- PW Revlew Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND []Create Green Folder []Submitted Previously [Deferred ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit Is Required (Permit M PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder doln v ilh this folder for permit issuance) ❑ Will be issued separately (separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Completed By: Date: