1425 COLBY AVE 2022-05-13 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) I PERMIT#"�v ►r 041 BUILDING PLANNING Intake OK by: Date: Intake OK b Assign To: f0(Z. Date: d(O'L. Intake Comments: Intake Comments: ‘ o k s n .N..e. ..\€„0,\t,\ ,k,,,(\j.Q\f ,e4•4z,\N < _ I .K..t ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit 0 OK to Route to Other Departments Bldg/1Add9hem Size 2 /dO ,J'iz 0 Hold in Planning File Drawer Garage/Accessory Struct. Size ve.S Zone ` - Z Number of Stories L Overlay/Agreement Basement lEtNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction j/�S Residential Use 5 Occupancy Group if-3 Proposed No. of Dwelling Units: Occupancy Load 7 Total No. of Dwelling Units: (5AF Fire Sprinklers: El Update Existing ❑New System 0-Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ERNo Reason Sprinklers Required: "In Lieu" Fee: Type: Amount Fire Alarm: ❑Update Existing El New System Et Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: redit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett School Dist ■ ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes NNo Additional Notes: VALUATION CALCULATION: Total $'.,'' 20,J O OG /, 151 x It/ IS'`/' q d v Approved By Date: \C,,\.1 20Z0 2.1_0/y o 45 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: OSys Dev Eval OTraffic Mit Eval OSite Work or Drainage Proposed ❑�,j 7_/ Backflow Prevention for high hazard: Approved 5�_7 ' Date:® 24 , (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: Public Works has no scope--- PW Not Required Additional Notes: yt'1'E N 0 mt. 0M111-ETE 'Jo mil ELECTRICAL QW '' r- 0 30\ Additional Notes: rr Approved By: Date: Approved By: 1'lt! Date: \p !g '1,1,0 a / 2-/ .