2825 COLBY AVE COLBY CENTER 2026-01-02

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING PLANNING Intake OK by: Date: Intake OK by, Assign To: �I'2SS Date:7 ZO 2? Intake Comments: Intake Comments: Zone Overlay/Agreement ped.skceet ❑ Route to Commercial Building Nonresidential Use dF ir-e5 ❑ Route to Residential Building Residential Use ill ❑ Make this a"W"Permit Proposed No.of Dwelling Units: I t-YA Bldg/TI/Addn/Rem Size Total No.of Dwelling Units: N/A Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes 1No Number of Stories "In Lieu" Fee:Type: Amount$ Basement ❑No ❑Yes, Fin/Unfn School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 11112022: Fire Sprinklers: []Update Existing ❑New System ❑Not Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Permit Technician Use Only:Apply Phase-In Credit Per EMC _ Fire Alarm: El Update Existing ❑New System El Not Req'd y' pp y 19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued Ill12022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No ❑ 50%Credit-Issued 9/3/2022-6/2/202$ Add'I RCW 64.55 dots required prior to final? ❑Yes ❑No ❑ 0%Credit-Issued 6/3/2023 or later j VALUATION CALCULATION: Total$ Additional Notes: Approved By: Date:7/ZO/Z3 PUBLIC W RKS Additional Notes: Intake OK by: Date: ;AIN forksheet Ne,,...............-.. ..............._.............., Intake Comments: eded;f 3I]S�s Dev Eval(Utillsw)❑Traffic Mit Eva] Approved By: Date: ' Site Work/Drainage ❑Address Letter F-1Backflow Prevention for high hazard: €(dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT °supportive housing) Separate/Deferred Submittals Required: El Route this folder for PW Review at end —PW R,....,...,. .,,.11Y1X......................."„'' '1X1X1YiW .............................. .................eviewWorksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: []This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND [ Create Green Folder ❑Submitted Previously ❑Deferred ❑This Permit is Approved by Public Works Fire Dept.Fees: ❑ See PW Review Worksheet and associated 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 ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope---PW Not Required ELECTRICALIPLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: