2712 COLBY AVE 2020-08-27 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#Z l41 0 p — Do 2- BUILDING 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. 0 Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit 0 OK to Route to Other Departments Bidg /�-ddn/Rem Size /qs9 Sp- 0 Hold in Planning File Drawer Garage/Accessory Struct. Size 11//!4 Zone Number of Stories / t 3\i Qe: `C _. S\VJ�f� Basement No ❑Yes , Fin/Unfin Nonresidential Use ('eS U,, ai\-\ Type of Construction l//3 Residential Use Occupancy Group id- Z Proposed No. of Dwelling Units: Occupancy Load / 31 Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ®Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ®.No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System XiNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: � Calculated: Credit: Er RCW 64.55 MF worksheet req'd for permit? DYes ILK ❑Everett School Dist ❑Mukilteo School Dist Add'i RCW 64.55 docs required prior to final? ❑Yes IL Additional Notes. VALUATION CALCULATION: Total$ /�000.!O Approved By: J Date:' ©\- 2�kq PUBLIC WORKS Intake OK by: Date: 8!i/Zôi9 Additional Notes: Intake Comments:. // PW Worksheet Needed if 004,+q- (or d c tcks, ❑Sys Dev Eval XTraffic Mit Eval • . / le) y ,trXet j- j4/ DSite Work or Drainage Proposed Approved B\ Date: I ,, r Ct SS'SE ❑Backflow Prevention for high hazard: pP y �� 0(9/004679. RFNfFAk'_ L _19/1A- 1 _ /�_ m (dental,medical,animals,mortuary,hospital, Td�YU*1C L supportive housing) �II FIRE DEPARTMENT Ad 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: 1This Permit is Approved by Public Works PFI C mi li, See Wor s eet and associated attached items Fire Dept. Fees: N, 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans- N IRE FEE AND 0 Is located in this folder O Minimal or No Fire Scope- NO FI FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) O Review/Inspection Scope-ADD FIR EE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: \ 0 Public Works has no scope PW Not Required Additional Notes: iN bV� 1.g311% -45,131 WO- --= lZEDtt ELECTRICAL -ft?k r _ , a NV DUE Additional No -_• l 144.1 � r 1/,019 Approved By: r�, Date: O8/d�/ % Approved By: _.,4r- i1 Date: R IL ZJ`