1321 COLBY AVE 2ND FLOOR 2022-01-26

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) PERMIT # BUILDING Intake OK by: 10V Date: --,—/, o 2o2p Intake Comment o ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bld I/ ddn/Rem Size Garage/Accessory Struct. Size -- Number of Stories -- Basement s , Fin / Unfin Type of Construction _r-/J Occupancy Group Z-_7 Occupancy Load '1 Fire Sprinklers: Update Existing ❑New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: ®Update Existing []NewSystem ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes FB No Add'I RCW 64.55 docs required prior to final? ❑Yes ENo VALUATION CALCULATION: Total $ S& aDD. 40 Additional Notes: Approved By:_Y Date: n/Ll-_4zze � OVA FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers []FireAlarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE .Review / Inspection Scope - ADD FIRE FEE Approved By: K , Fina WYN Date: 3'.2A%'•26.2o ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone —� Overlay/Agreement Nonresidential Use ` Residential Use Proposed No. of Dwelling Units: Total :No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes No "In Lieu" Fee: Type: Amount School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo Sc of Dist Additional Notes: I-)o L , Q-'LQJ d/ Approved By: I&ADate: 9j— 70Z ) PUBLIC WORKS " Intake OK by: Date: Intake Comments: 'I , �PW Worksheet Needed if., 1 ►� WV IAZ '� vn + k% I[]Sys Dev Eval ❑Traffic Mit Eval []Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, (supportive housing) i...».......................»,.»................ ........ ..... ,.».................... ............. .....,...„,................».»................. []Route this folder for PW Review at end --- PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder Qoin with this folder for permit issuance) ❑ Will be Issued separately (separate Green Folder, PW issued ahead of Bldg) Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: `� 117 2Qj