2902 RUCKER AVE FAST SIGNS 2021-12-17

Intake &Approval Sheet • (FOR PERMIT STAFF ONLY)I PERMIT#� ''" \ I — b J BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size • 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone 0 M Number of Stories Overlay/Agreement W , • re24----c)4.574div., i 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 ❑NewSystem E Not Req'd Planning/Landscape Inspection Require before Final? ❑Yes IJo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes E I No ❑Everett School Dist ❑Mukilteo School Dis Add'I RCW 64.55 docs required prior to final? ❑Yes !No Additional Notes: Q,,,,v 5 ,51A0, + z A„,, t, &t_ Ay- VALUATION CALCULATION: Total$ 0, s,A,-- e.xk',� jg..A\ . bv� `` Approved By: f,.01 n' Date: UUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval,animals❑,Trafficmortuary, Mit Eval I❑Site Work or Drainage Proposed Approved By: Date: V lac.,i t ❑Backflow Prevention for high hazard: Wi(dental,medical hospital, isupportive 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 ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works , ❑ 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 ❑ 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: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved.By: Date: