426 E CASINO RD 2022-11-16 - Laserfiche WebLink

• 4111 Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 02. OC1 BUILDING PLANNING Intake OK by. ,A, Date:4"-A706Z0 Intake OK bX Assign To: Q Date: t.(,p.7CIO Intake Comments: Intake Comments: CJ ,Q. V\VA USSL Ceztui,csa .dam=US'SPU, Route to Carnmercial BOifding,U/Z(-41 ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone -1 /V\U Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use W C Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: - -- — ------------------------ Fire Sprinklers: ❑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 ❑Not Req'd. School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑Everett School Dist ❑Mukilteo School Dist Q. Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: >�v5��orX \,n� nee. t'S � �`Cu VALUATION CALCULATION: Total $ 7 O00b, 00 A'Fk).. 2b20o2.250.\(S(0 Approved By Date: 2.Zc. ' Zo' o PUBLIC WORKS Intake OK by:goy �--� Date: f7� •to Additional Notes: Intake Comments: PW Worksheet Needed if:/OWL, ,0 0-�• , ,+�� ti j I❑Sys Dev Eval ❑Traffic Mit Eval 1 1. /l V! l� , ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved B_ Date Zozo �� :(dental,medical,animals,mortuary,hospital, ;supportive 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) El 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 0 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/Ins ection Scope-ADD FIRE FEE El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By. a,- Date: y-Ayfrie 'ublic Works has no scope--- P Not Required W Additional Notes: ELECTRICAL Additional Notes: `g� Approved By: Date: Approved By: . 3S7A— Date: 7f 6/CW Z,