5615 EVERGREEN WAY PARTY SOLUTIONS 2025-09-10

Intake &Approval Sheet (FOR PERMIT STAFF ON09 PERMIT## &ka- D BUILDING -ANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ElRoute to Commercial Building Nonresidential Use ElRoute to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No. of Dwelling Units: Bldg/TI/Addn/Rem Size &Im 4)7 Total No. of Dwelling Units: Garage/Accessory Struct.Size WO Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories L "In Lieu"Fee:Type: Amount$ Basement EINo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction V,0 Calculated: Credit: Occupancy Group Ire ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load S" Park Impact Fees for permits applied for after 111/2022: Fire Sprinklers: ❑Update 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: Update Existing New System ONot Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 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'I RCW 64.55 does required priorto final? ❑Yes ®No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ /"S.0 Additional Notes- J Approved By: Date; PUBLIC WORKS Additional Notes: Intake OK by: Date: ------- ------------------------------- Intake Comments: IPW Worksheet Needed if: ❑Sys Dev Eva[(UuVsvv) ❑Traffic Mit Eval Approved B f.. Date: 'ElSite Work/Drainage DAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT ;supportive housing) '----------------------------------------- Separate 1 Deferred Submittals Required: ❑Route this folder for PW Review at end —PWReview Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: ❑This 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 PW Permit is Required(Permit#: PW ) ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder 115'Review/Inspection Scope-ADD FIRE FEE El Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: i Date: 6;23 El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works has no scope—PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: TJ 1 .2 Y