2621 COLBY AVE METRO PCS 2021-02-22

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) S PERMIT# '2-Dal---01 BUILDING ` PLANNING Intake OK by: Date: Intake OK by:6 Assign To:7 J i/4 Date: / /2 Intake Comments: Intake Comments: 4i'� ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ oute to Historic Reviewer ❑ 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 V 1► t, Number of Stories Overlay/Agreement PA Mfg /Witt- Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use frCf4 Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing El New System El Not Req'd lanning/Landscape Inspection Required b ore Final? ❑YesNo Reason Sprinklers Required: "In Lieu • e: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: To a Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett S ol Dist ❑Mukilteo School Dist Addi RCW 64.55 docs required prior to final? ❑Yes El No Addi i al Notes: VALUATION CALCULATION: Total$ Approved By: (%'Ih Date: 1 ' /2E. 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: Date: (9.2/1x�v �Backflow Prevention for high hazard: �` I(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: ❑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(loin with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ 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: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: