1605 SE EVERETT MALL WAY WALMART 2025-09-10

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# G,2 BUILDING ,NNiNG intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No. of Dwelling Units: Bidg/TI/Addn/Rem Size Total No, of Dwelling Units: Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories "In Lieu"Fee:Type: Amount$ Basement NNo ❑Yes, Fin/Unfin School impact Fee: Total $ Type of Construction V6 Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 11112022: Fire Sprinklers: Rupdate Existing ❑New System ❑Not Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): ------------------------------------------------------------ -------- Fire Alarm: �Jpdate Existing ❑New System ❑Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.63.200----------- Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'1 RCW 64.55 dots required prior to final? ❑Yes -&No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total 3/1" Additional Notes: Approved By: Date: PUBLIC WORKS -yl SLLIq Additional Notes: Intake OK by: Date: -20 -------------- ----- ------- ------------ Intake Comments: ;PW Worksheet Needed lf i vlSl AW I&ys Dev Eva](Utl/SW) I]TrafFic Mit Eva[ Approved B Dater5 Z mllnI huv( A ayk WVV 1�, t8Site Work1Drainage I]Address Letter ayseG.w I Igo I lard i+nblzt 1�i ;❑Backflow Prevention for high hazard: P�n�i l strl pI pue,✓saa e� (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT G�akubr ��Y�evl d,�;supportive housing) ------------------------------ ------------ Separate 1 Deferred Submittals Required: ❑Route this folder for PW Review at end —PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: WThis project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder [ Submitted Previously ❑Deferred ❑This Permit is Approved by Public Works Fire Dept. Fees: ❑See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FiRE FEE ❑A Separate i-""'- " ' "' mit#: PW ) AND ❑ Is loc Review/Inspection Scope-ADD FiRE FEE ❑ Is in z n with this folder for permit issuance) Approved By: n Date: _ — ❑Will b �Green Folder,PW issued ahead of Bldg) ❑Public Work: Required ELECTRICAL/PLUMBING Additional Notes Additional Notes: Approved By: Date: lCompleted By: Date: