4310 COLBY AVE 300 AND 301 2022-01-14

Intake & Approval Sheet (FOR PERMIT STAFF ONLY PERMIT # BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ ake this a "W" Permit BI g I/ ddn/Rem Size Garage/Accessory Struct. Size Number of Stories 3 Basement o ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing El New System JRNot 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 5 No Add'] RCW 64.55 docs required prior to final? ❑Yes ,®No VALUATION CALCULATION: Total $ I-V 000, 0 o Additional Notes: Approved B Date: f j 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 19 Review / Inspection Scope - ADD FIRE FEE Approved By: �n Date: 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 F s ❑No "In Lieu" Fee: Type: mount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist Mukilteo School Dist Additional Notes: Approved By: Date: rJ`,2�• Zd� PUBLIC WORKS Intake OK by: Date: Intake Comments: jPIN Worksheet Needed if. 1 ❑Sys Dev Eval ❑Traffic Mit Eval 0Site Work or Drainage Proposed �013ackflow 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 Coin with this folder for permit Issuance) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) Public Works has no scope;-- PW No equired Additional Notes: Approved By: Date: