2828 COLBY AVE EDWARD JONES 2022-01-27

Intake & Approval Sheet • (FOR PERMIT STAFF ONLr 0 PERMIT Xo 1Z-001 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 o2 Garage/Accessory Struct. Size `- Number of Stories t`� Basement [No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load l d Fire Sprinklers: ❑Update Existing ❑New System UNot Req'd Reason Sprinklers Required: Fire Alarm: []Update Existing El New System IgNot Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes -0 No Add'I RCW 64.55 docs required prior to final? []Yes o VALUATION CALCULATION: Total $ Additional Notes: Approved By: Date: 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: (fir Date: 12 ,,? o ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: Intake Comments:Ml VI Qi 1 1 l��?,e?A' Pr1�GY`� 11�J �1�� I z ►�C 2t Z� ❑ 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: El Everett School Dist ❑Mukilteo School Dist Additional Notes: Approved By' Date: PUBLIC WORKS Intake OK by: Date: :. _......._.................. ................. ...................... .... ..... _...,....................... .......... Intake Comments: 3PWWorksheetNeeded if.• i ❑Sys Dev Eval []Traffic Mit Eval ❑Site Work or Drainage Proposed (]Backflow Prevention for high ard: (dentaZ , animals, mortu , hospital, supportive ing)................................,.............................❑Route this folder for PW Review at end Re ew Worksheet ❑This project also has a separate concurReview (Green Folder) AND ❑Create Green Folder ❑Submitteiously ❑Deferred ❑ This Permit is Approved by Public orks ❑ See PW/Permit rksheet a associated attached items ❑ A Separit is equired (Permit #: PWAND ❑ I ' folder❑ Iste Green Folder (join with this folder for permit issuance) Wd separately (Separate Green Folder, PW issued ahead of Bldg) PublicW scope --- PW Not Required Additiona otes: Approved By: Date: