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

Intake & Approval Sheet 10 (FOR PERMIT STAFF ON09 0 PERMIT # W 0+ () O� BUILDING Intake OK by: LeU Date: Intake Comments: ❑ Route.to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Ep Garage/Accessory Struct. Size - •�-- Number of Stories r-- Basement ❑No OYes, Fin / Unfin Type of Construction Occupancy Group L� Occupancy Load �p j Fire Sprinklers: IKI Update Existing El New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: Update Existing ❑New System ❑Not 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 No VALUATION CALCULATION: Total 7&Cl �5W,&:56-L_ PL4 Additional Notes: Approved By: Date: FIREDEPARTMENT Separate / Deferred Submittals Required: � Fire Sprinklers Wire 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: T 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 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 l3r.77Date: t1_Q � PUBLIC WORKS Intake OK by:ic Ley Date: ----------------------------------------- Intake �//C��o��m��m��ents�: �.,C ;PWWorksheet Needed if.• —111 ?llil 1 Wv"iQ ; OSys Dev Eval ❑Traffic Mit Eval []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) ❑ WIII be issued separately (Separate Green Folder, PW issued ahead of Bldg) 19 Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: