3003 W CASINO RD BLDG 40-51 2023-04-06

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 1 2 9JO C /T? BUILDING . "PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zo - Overla, Agreement ❑ Route to Commercial Building Nonreside 'al Use ❑ Route to Residential Building Residential Us. ❑ Make this a"W" Permit Proposed No.of I elling Units: Bldg/TI/Addn/Rem Size Total No.of Dwelling ► its: Garage/Accessory Struct.Size Planning/Landscape In section Required before Final? ❑Yes ❑No Number of Stories "In Lieu"Fee:Type: Amount$ Basement ❑No ❑Yes, Fin/Unfin s School Impact Fee: Total $ Type of Construction _ Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilt;. School Dist Occupancy Load Park Impact Fees for permits applied •r after 1/1/2022: Fire Sprinklers: El Update Existing El New System El Not Req'd Park Impact Fee Total$ Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: 0 Update Existing El New System ❑Not Req'd Permit Technicians:Apply Credit Per EMC19.53.20 Reason Fire Alarm Required: - 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ /`7'li� 71'7 D D Additional Notes: s(/de Approved BA - Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval Approved By Date:�c/W I"Z71._- Mite Work or Drainage Proposed ❑Backflow Prevention for high hazard: dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT s •.ortivehousing) Separate/Deferred Submittals Req d: DRoute this folder for PW Revie at end - PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm L_lOther: ❑This project also has a separate c. current ' Review(Green Folder) Additional Notes: ,/dr �.�r9 AND ❑Create Green Folder ❑Submi ed Previously ❑Deferred ❑This Permit is Approved by Public Wor Fire Dept. Fees: ❑ See PW Review Worksheet and associate. attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit PW ❑ Minimal or No Fire Scope-NO FIRE FEE AND 0 Is located in this folder • ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this .Ider for permit issuance) Approved By:4 ` - Date: ❑Will be issued separately(Separate Green Fol..r,PW issued ahead of Bldg) ❑ Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: jv,)7) /t Additional Notes: Approved By: Date: Approved Byes , Date: 1�