2415 COLBY AVE EVERETT HS CIVIC AUDITORIUM 2022-01-26

Intake & Approval Sheet 'POR PERMIT STAFF ONLY) WERMIT # & 1110!7 - ,31 BUILDING Intake OK by: Date: Intake Commen s: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size .. Garage/Accessory Struct: Size Number of Stories Basement ❑No ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing El New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: El Update Existing ❑New System El Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add] RCW 64.55 docs required prior to final? ❑Yes ❑ No VALUATION CALCULATION: Total $ Additional Notes: Approved By: , , Date:' I l j �J FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑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 Date: ELECTRICAL Additional Notes: Approved By: Date: PLANNING Intake OK by: Date: Intake Comments: Assign To: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use $C Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required bef Inal? ❑Yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total Calculated: _ Credit: ❑Everett ool Dist ❑Mukilteo School Dist Additional Notes: + i n-K 1,-;1' o�� G✓K �U�h Gov i�lYrn ec( 00 fii5-1V00 1 mvir vu e,Cg0 Approved By: Date: j C PUBLIC WORKS Intake OK by: Date: ;----------------------------------------- Intake Comments: ; PW Worksheet Needed if.' ❑Sys Dev Eval ❑Traffic Mit Eva] ; ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, : supportive housing) ----------------------------------------- El 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 (join 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: