2707 COLBY AVE INTERNAL REVENUE SERVICE 2023-04-06

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 21O2-'M,t, 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 ❑ Route to Historic Reviewer ❑ Ma e this a"W"Permit ❑ OK to Route to Other Departments BI•: tddn/Rem Size n7C7q- 0 ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories C/11 Overlay/Agreement Basement ❑No ❑Yes, Fin/Unfin Nonresidential Use Type of Construction / A Residential Use Occupancy Group 13 Proposed No.of Dwellin; nits: 6 Occupancy Load / Li Total No.of Dwelling its: Fire SprinklersTUpdate Existing ❑New System ONot Req'd Planning/Landsca,e Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Ty.-: Amount$ Fire Alarm: IlUpdate Existing ❑New System ❑Not Req'd School Impact ►ee: Total $ - Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No DEverett 'chool Dist ❑Mukilteo School Dist Add'i RCW 64.55 docs required prior to final? ❑Yes o Additional Notes: VALUATION CALCULATION: Total$ /10i 0 �\�. -Ail 1 I h co Y i,l,i c, Approved By: Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: ^"' 6Intake Comments: PW Worksheet eeded if. (��,e,/... L a'� /� t �� " _DSys Dev .I ❑Traffic Mit Eval n h f f .Ix A) IDSite W•, k or Drainage Proposed Approved By: Date: /al I I v V 11r� -OBa 'ow Prevention for high hazard: �� (de -1,medical,animals,mortuary,hospital, =s .portive housing) • FIRE DEPARTMENT ❑Route this folder for PW Revie ..t end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a sepa :te concurrent PW Review(Green Folder) .26ire Sprinklers Fire Alarm ❑Other: AND OCreate Green Folde• ❑Submitted Previously DDeferred Additional Notes: ❑This Permit is Approv-d by Public Works 0 See PW Review •rksheet and associated attached items Fire Dept. Fees: ❑A Separate PW •ermit is Required(Permit#:PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is loc. ed in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is' a Separate Green Folder(join with this folder for permit issuance) .0 Review/Inspection Scope-ADD FIRE FEE ■ ill be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: . VD.6�r j'4 Date: a-,22,2,2, ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL n I A— ill `h 4erc�, Additional Notes: ' t Approved By: Date: Approved By: Date: