14 E CASINO RD CHILD STRIVE 2022-01-14

Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY) 0 PERMIT # �M097_W1 BUILDING Intake OK by: , —/<. Date: o f Zd/ Intake Comments: ❑ Route.to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bld I/ ddn/Rem Size f Sd6 ,5F` Garage/Accessory Struct. Size 1 Number of Stories If Basement RINo ❑Yes , Fin / Unfin Type of Construction V Occupancy Group Ig ,Q Occupancy Load 7-6v Fire Sprinklers: ❑Update Existing ❑New System Blot Req'd Reason Sprinklers Required: Fire Alarm: ❑Update Existing ❑New System -allot Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes .® No Add'I RCW 64.55 docs required prior to final? ❑Yes��11 RNo VALUATION CALCULATION: Total $ WA VO-tO. 0" Additional Notes: Approved B Date: alrl 71ad v FIRE DEPARTMENT Separate / Deferred Submittals Required: \ l ❑Fire Sprinklers ❑Fire Alarm Other. 1"�Ile'\ Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE Review / Inspecti n cope - ADD FIRE FEE Approved I Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by:--4 Date: IZ L �( Intake Comments: Assign To: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone a p Overlay/Agreement v b Nonresidential Use Residential Use y,( Proposed No. of Dwelling Units: Total No. of Dwelling Units: i Planning/Landscape Inspection Required before Final? ❑Yes EZNo "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Additional Notes: 47 � Approved By . PUBLIC WORKS Intake OK by: Date: i ------------- -------------------------- Intake Comments: ;PW Worksheet Needed if., El Sys Dev Eva[ ❑Traffic Mit Eva] FSite Wo r Drainage Proposed ❑Backflow 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 4.A Separate PW Permit is Required (Permit#: PW ) AND 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 Not Required Additional Notes: Approved By. Date: