1321 COLBY AVE 2ND FLOOR 2022-01-26

Intake & Approval Sheet 9 (FOR PERMIT STAFF ONLY? 0 PERMIT #��g _lJ` 3 7 Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bld I ddn/Rem Size / qqc r�1� Garage/Accessory Struct. Size ,✓ A Number of Stories j Basement ®No ❑Yes , Fin / Unfin Type of Construction / Occupancy Group Occupancy Load OS Fire Sprinklers: g ❑New System ❑Not Req'd p pdate Existing Reason Sprinklers Required: Fire Alarm: Update Existing ❑New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes El No Add'I RCW 64.55 docs required prior to final? ❑Yes 12No VALUATION CALCULATION: Tota1 $ .S'S"O, 00 Additional Notes: Approved B Date: Separate / Deferred Submittals Required: Are Sprinklers &r-tre Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE 25 Review / Inspection Scope - ADD FIRE FEE Approved By: 'K Date: /I Additional Notes: Approved By: Date: 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 o "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: [:]Everett School Dist ❑Mukilteo chool Dist Additional Notes: Approved By: Date: <6.72,$, 20 Oilt�.. .,.. T Intake OK by: Date: ....................................................,................,..,..,..,.....,..,.........,..,.,,,,,,,,,,,,............................ Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eva ❑Traffic Mit Eva] ❑Site Work or Drainage Proposed ❑Backf]ow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, ,supportive housing) ❑ 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 (join 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 Re wired Additional Notes: Approved By: Date: