2510 COLBY AVE 2020-12-30 - Laserfiche WebLink

Intake & Approval Sheet i (FOR PERMIT STAFF ONLY) 0 PERMIT#S1 4©2-' $UILDING . . , ,.L.ANN, ,, Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone U}4 Number of Stories Overlay/Agreement ``�� Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use ( �,n�,i COY (a— Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: ��,,//.�� Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes L.a'tto Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ 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 ❑ No ❑Everett School Dist ❑Mukilteo Schoo ist Add'!RCW 64.55 docs required prior to final? ❑Yes 0 No Additional Notes: �; CO �a�l I try' VALUATION CALCULATION: Total 6 6JNI �I t`®S ) Car" `, CNUir 1t0�— 4k4) Co.U.Kid 1— Approved By: �,,,Q,, C1 Date: Z.,ZZ-lei "�P�UBLIC 1 P S Intake OK by. Date: Z 7.-491? Additional Notes: Intake Comments: PW Worksheet Needed if:: 60 di( ybgytlAj• ❑Sys Dev Eval ❑Traffic Mit Eva! ❑Site Work or Drainage Proposed - ❑Backflow Prevention for hi h hazard: Approved By: Date: t i 19 g (dental,medical,animals,mortuary,hospital, IRI1 Df 1*31 VIENT., ._ ❑Route this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments) ❑ See PW Review Worksheet and associated attached items Fire Sprinklers: ❑Update Existing ❑New System ❑ Not Req'd ❑A Separate PW Permit is Required (Permit#: PW ) Fire Alarm: ❑Update Existing ❑New System ❑ Not Req'd AND ❑ Is located in this folder Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is 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) ❑ ADD FIRE FEE 0 NO FIRE FEE Public Works has no scope---PW Not Required Approved By: Date: Additional Notes: E„LEOTRGAL. Additional Notes: Approved By: Date: Approved By: Date: Z Ze,