1321 COLBY AVE 2ND FLOOR 2022-01-26

Intake & Approval Sheet (FOR PERMIT STAFF ONLr 0 PERMIT #� BUILDING Intake OK by: Date: 7/ Intake Comments. ❑ Route.to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit BIdg/TI/A / em Si 2 9`7J SF Garage/Accessory Struct. Size Number of Stories Basement []No ❑Yes , Fin / Unfin Type of Construction Occupancy Group' Occupancy Load 30 Fire Sprinklers: DRUpdate Existing ❑New System ❑Not Req'd 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 Ea No Add'I RCW 64.55 docs required prior to final? ❑Yes ONo VALUATION CALCULATION: Total $ O-, -0 bb, D Additional Notes: Approved Date: u FIRE DEPARTMENT , Separate / De ed Submittals Required: ❑Fire Sprinklers Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑❑ Review of As -Built Plans - N\FIRE Minimal or No Fire Scope - N ❑ Review / ` `ection Scope - E Approved B Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Date: Intake Comments: Assign To: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone - e�-Z r Overlay/Agreement I 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 School Dist Additional Notes: l�or �O(�( on- nv �c"vim CW�S �2.%� Wi {�zrrn Date: Approved By: =W21 PUBLIC WORKS Intake OK by: Date: ------------------------------------------ Intake Comments: ;PW Worksheet Needed if., ❑Sys Dev Eval ❑Traffic Mit Eval []Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, ;supportive housing) --_-------------------------- El 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) ❑ WIII be issued separately (Separate Green Folder, PW issued ahead of Bldg) 1P Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: