9910 EVERGREEN WAY BUZZ INN STEAKHOUSE 2025-09-11

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 6 2201K—COLA BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ 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 Zone Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use A Type of Construction Residential Use Occupancy Group /7 Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? Ryes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: El Update Existing ❑New System El 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 ❑Mukilteo S& of Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total $ JO L-::'/v0 Approved By: L , Date: ,:5 7 Z UBLIC WORKS Intake OK by: Date: ..._..._.......,,......_..._........._,..._..._...................._.............. .._..._........_....._.._...._..............._ Additional Notes: Intake Comments: I PW Worksheet Needed if. i ❑Sys Dev Eva] ❑Traffic Mit Eval El Site Work or Drainage Proposed Approved By' ' Date;0 q r? r677_ ❑Backflow Prevention for high hazard: ;(dental,medical,animals,mortuary,hospital, `supportive housing) i........_....._..._._.._._...._............._.._.............._....__............_._....................... ..... FIRE DEPARTMENT 0 Route 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) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred 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 located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder Qoin with this folderfor permit issuance) ❑ Review/ Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: r 1 Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL I � 5A ^ � A Additional Notes: V�I Approved By: Date: Approved By: v'L Date: Z.6 JjZ