2301 COLBY AVE T MOBILE ANTENNA 2022-01-26

Intake & Approval Sheet 9 (FOR PERMIT STAFF ONLY) . PERMIT # ail � C BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update 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 ❑ No Add] RCW 64.55 docs required prior to final? ❑Yes []No VALUATION CALCULATION: Total $ Additional Notes: Wo F,(50z ,_, Approved By: Date: FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: 19 Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: oc Date: q- ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK Assign To:Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer R 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: El Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved Date: cj zotj� PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Worksheet Needed if., ❑Sys D e v Eval ❑Traffic M i t E v a I I OSite Work or Drainage Proposed I OBackflow Prevention for high hazard: I (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 folderforpermit issuance) ❑ WIII be Issued separately (Separate Green Folder, PW issued ahead of Bldg) -Public Works has no sc pe --- PW Not Required Additional Not O i Zp Approved By: Date: