10210 EVERGREEN WAY 2019-02-06 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# (6VSCCI --D3g BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone -- A,u,© Number of Stories Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use ‘kc ,\ Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System El Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ®No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ ,66 v\-3 e-a Approved Bp — ' Date: `\ 2.0`v PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksh•et Needed if: ❑Sys I.-v Eval ❑Traffic Mit Eval ❑S'.-Work or Drainage Proposed r:ackflow Prevention for high hazard: Approved By: Date: 07727/7,44 (dental,medical,animals,mortuary,hospital, ;supportive housing) FIRE DEPARTMENT ❑Route this folder for PW R_;v iew at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a -parate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green F. der ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team ❑This Permit is Ap, oved by Public Works Date: (OK to Route to Other Departments) 0 See PW Revie Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System 0 Not Req'd 0 A Separate Permit is Required(Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND 0 Is .cated in this folder Chemical Sup: ❑Update Existing ❑New System ❑ Not Req'd 0 - in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: • Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: 0 Pub is Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: