6501 RAINIER DR EVERETT INDUSTRIAL 2025-06-23

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT # M 2-3 I Z - G Di-) BUILDING Intake OK by: Date: Intake Comments: ❑ Make this a "W" Permit ❑ SRC Required (Pre-Insp) Bldgrrl/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Cart. of Occpuancy Required? []No ❑Yes ❑Shell Only Code Year 112021 112018 112015 Fire Sprinklers: ❑Update Existing ❑New System ❑Not 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 does required prior to final? ❑Yes ❑No VALUATION CALCULATION: Total $ Additional Notes: Approved By: Date: Ir f f FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: Additional Notes: Approved By: Date: OF PLANNING Intake OK by: Assign To: Date: Intake Comments: Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ 1' Calculated: Credit: El Everett School Dist ❑Mukilteo School Dist Park Impact Fees for permits applied for after 11112022: Park Impact Fee Total $ (net due after credit for existing uses) Fee Schedule Used For Calculation (Year): Additional Note : jz�ja 141 pproved By: Date: PUBLIC WORKS Intake OK by: Date: Intake Comments: PWReview& Worksheet Needed if., ❑Sys Dev Eva[ : ❑Water ❑Sewer ❑Stone ❑Traffic Mitigation Eval ❑Site Work/Drainage (shown/triggered) ❑Address Letter 13Back6ow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, supportive housing) ❑ 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 fully digital ❑ Is located in this folder ❑ Is in a Separate Green Folder Goin with this folder for permit issuance) ❑ Will be issued separately (separate Green Folder, PW Issued ahead of Bldg) ❑ Public Works has no scope on this permit --- PW Not Required Additional Notes: Completed By: Date: