510 W CASINO RD DKJ FOOD MART 2021-11-01

I i � ( Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# S VaoLI — COLI BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments. Assign To. ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a "W" Permit 0 OK to Route to Other Departments Bldg/TI/Addn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement • Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection-Required before Final? ❑Yes 0No -- Reason Sprinklers Required: "In Lieu" Fee: Type: r Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: tal $ Reason Fire Alarm Required: Calculated Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No ❑Everett Scho Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes 0 No Additional Notes: VALUATION CALCULATION: Total $ Approved Bye "_ , — Date: i \,0..v 'Lc ,v('1 PUBLIC WORKS Date: .. ............................. Intake OK by: I r`` Date 41 tl "I'................ ..... ............. ...... ...... .... ...... . Additional Notes: Intake Comments: IPW Worksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval 1 //�� Site Work or Drainage Proposed Approved By: Date: '�1 ❑=❑Backflow Prevention for high hazard: ((dental,medical,animals,mortuary,hospital, =.supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end --- PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND OCreate Green Folder ❑Submitted Previously ❑Deferred Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder O Minimal or No Fire Scope- NO FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) O Review/Inspection Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: Public Works has no scope---PW Not Required Additional Note'->_ � l�/ /j ELECTRICAL , -- -f Additional Notes. Approved By: Date: Approved By: Date: