1321 COLBY AVE VERIZON WIRELESS ANTENNAS 2021-11-01

Intake &Approval Sheet * (FOR PERMIT STAFF ONL10 IIIPERMIT# v� o�6,' BUILDING PLANNING Intake OK by: Date: Intake OK by:l/" Assign To:iQ 6. Date;yi12,21 Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ -.ute to Historic Reviewer ❑ Make this a"W"Permit ►=i OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer p Garage/Accessory Struct.Size Zone i''2-- Number of Stories Overlay/Agreement t �� Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use WCiP—�/�! Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type:_ Amount$ Fire Alarm: ❑Update Existing ❑New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ 1).,000.°'i',/ Approved By: atc Date3/1/ 7-1/7-1 • PUBLIC WORKS MA v/n ttLQr 1 old-MA to K Intake OK by: Date: Additional Notes: A ' (/E.tf- ® Intake Comments: iPW Worksheet Needed if: i❑Sys Dev Eval ❑Traffic Mit Eval I❑Site Work or Drainage Proposed Approved By: Date: 17 / I❑Backflow Prevention for high hazard: ff '(dental,medical,animals,mortuary,hospital, isupportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) L_IFire Sprinklers UFire Alarm UOther: AND ❑Create Green Folder OSubmitted Previously ODeferred Additional Notes: El This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: w;Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: k\ Date: 3Qds i\