1321 COLBY AVE VERIZON WIRELESS ANTENNAS 2021-02-22

i Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#-92003"Oa BUILDING PLANNING� Intake OK by: Date: Intake OK by: Assign To:TT L4 Date: /2-6 Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. O Route to Residential Building 0 Route to Historic Reviewer 0 Make this a "W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size Hold in Planning File Drawer Garage/Accessory Struct. Size Zone L Z Number of Stories Overlay/Agreement - Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use , ItbSpl-i- / I 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 ❑No Reason Sprinklers Required: "n Lieu" Fee: Type: _.______,Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Imp e: Total $ / Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Ev chool Dist ❑Mukilteo Sc Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ Approved By: Gm Date: 3115 2. PUBLIC WORKS Intake OK by:'( Date: ,312f2aZC Additional Notes: Intake Comments: 1PW Worksheet Needed if: A.{-r raA UV—4— iElSys Dev Eval ❑Traffic Mit Eval I 0a4L 1 . I.-to ?I' ❑Site Work or Drainage Proposed (\/ Approved By: t� Date: �j/� � SCa,7� =❑Backflow Prevention for high hazard: + ;(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: OThis 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 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 O Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) O Review/ Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: blic Works has no sco .e--- PW Not Required Additional Notes— , p3(-a / oz_0 ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: