2722 COLBY AVE SNO CO PUBLIC DEFENDER 2019-11-01

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 6 11D1 11 f BUILDING PLANNING Intake OK by: / Date: I�✓ (R 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, Sao.44-' 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone V I Number of Stories * tt,,,, Overlay/Agreement Basement [CINo ❑Yes , Fin/Unfin Nonresidential Use arfee Type of Construction i ` A Residential Use Occupancy Group `{;i Proposed No. of Dwelling Units: Occupancy Load 4- Total No.of Dwelling Units: Fire Sprinklers: KlUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes Lilo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount.$ Fire Alarm: glUpdate 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 ® No DEver- "chool Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes MNo A+•itional Notes: An�� U,G v p VALUATION CALCULATION: Total$ 9--49) o '12 C/�t f S-�- Approved By: aii Date: 1 /1571 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval I ❑Site Work or Drainage Proposed Approved By: 5fDate: (�/ ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, III supportive housing) FIRE DEPARTMENT El Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred r� i Submittals�+ Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers .IgFire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is located in this folder MMinimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(loin with this folder for permit issuance) ❑ Review/Inspection cope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: 3 Date: 1�,� /7 Public Works has no scope---PW Not Required 3 Additional Notes: ELECTRICAL Additional Notes: (/ 11 t 1 t \Vr t0/ * VO O4 t2(/v,°1 - o'1 U Approved By: Date: Approved By: Date: Q