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3003 W CASINO RD BLDG 40-24 2019-10-31
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3003 W CASINO RD BLDG 40-24 2019-10-31
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Last modified
10/31/2019 2:11:38 PM
Creation date
10/31/2019 2:11:14 PM
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Address Document
Street Name
W CASINO RD
Street Number
3003
Tenant Name
BLDG 40-24
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Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# #B0sq) D <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Date: <br /> Intake Comments: Intake Comments: Assign To: <br /> ❑ Route to Commercial Building 0 Attach to Project No. <br /> ❑ Route to Residential Building 0 Route to Historic Reviewer <br /> ❑ Make this a"W"Permit 0 OK to Route to Other Departments <br /> Bldg\ddn/Rem Size ,Pi 1-1 4.4-2 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct. Size - Zone <br /> Number of Stories Overlay/Agreement <br /> Basement 1ZINo DYes , Fin/Unfin Nonresidential Use <br /> Type of Construction 7[ — Residential Use <br /> Occupancy Group F- 1 Proposed No. of Dwelling Units: <br /> Occupancy Load Total No. of Dwelling Units: <br /> Fire Sprinklers: RIUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? DYes ❑No <br /> Reason Sprinkl rs Required: k(s-r• "In Lieu" Fee:Type: Amount$ <br /> Fire Alarm: N Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: tcs•r- Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? DYes No DEverett School Dist DMukilteo School Dist. <br /> Add'I RCW 64.55 docs required prior to final? DYes No Additional Notes: / <br /> VALUATION CALCULATION: Total$ 30.) /jJ <br /> °or 1‘4140,1C/IN/ <br /> W�` � �� Approved By: Date: <br /> ET PUBLIC WORKS <br /> or% E.(2_1- <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: PW Worksheet Needed if: <br /> ❑Sys Dev Eval ❑Traffic Mit Eval <br /> ❑Site Work or Drainage Proposed <br /> Approved By: Date: , g 1'S/ $�� ❑Backflow Prevention for high hazard: <br /> 1 (dental,medical,animals,mortuary,hospital, <br /> supportive housing) <br /> FIRE DEPARTMENT El Route this fold4C-1., er or PW Review at end ---PW Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) <br /> DRoute to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works <br /> Date: (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items <br /> Fire Sprinklers: DUpdate Existing ONew System 0 Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) <br /> Fire Alarm: ❑Update Existing ❑New System 0 Not Req'd AND 0 Is located in this folder <br /> Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) <br /> Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: 0 Public Works has no scope--- PW Not Required f <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: <br /> Approved By: Date: <br /> pp Approved By: Date: <br /> 7 - <br />
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