2727 COLBY AVE EIGHT BALL CAFE 2023-04-06

• • �2111` D3 l� Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# I • 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 ❑ oute to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size 1 /'tO et Hold in Planning File Drawer Garage/Accessory Struct.Size '— Zone IA. Number of Stories / Overlay/Agreement Basement No ❑Yes , Fin/Unfin Nonresidential Use f1-A,t,1 Type of Construction //�� V 13 Residential Use Occupancy Group LJ Proposed No.of Dwelling Units: Occupancy Load i'lq ik) Total No.of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System jai Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: ❑Update Existing El New System INNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes JNo DEverett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ViNo Additional Notes: VALUATION CALCULATION: Total$ /cP 0O0 Approved By: ).-- „SZ _____ Date: I I •/'Z • 7-1 PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: G-S Date: k pa,ezi _❑Backflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, isupportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: OThis 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 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/Inspection Scope-ADD FIRE FEE ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: co L,J+(\ Date: \` 1 KJ-c2t /1 Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: 6-e0t oKaU -CA, Qtan oti► -Fee 061, l►t\Int e 2.-Z__