2910 COLBY AVE 2023-10-20 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT # 172�6 + C61 BUILDING Intake OK by: Date: Intake Comments: ❑ Route to Commercial Building ❑ Route to Residential Building ❑ Make this a "W" Permit Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Basement []No ❑Yes , Fin / Unfin Type of Construction Ncv, Cot4J). J�l Occupancy Group _3 Occupancy Load Fire Sprinklers: ❑Update Existing El New System ❑Not Req'd Reason Sprinklers Required: Fire Alarm: []Update Existing El New System ❑Not Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No VALUATION CALCULATION: Total $ Additional Notes: y Approved By: Date: O'Z 7 J V ,;Z� FIRE DEPARTMENT Separate / Deferred Submittals Required: ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIFE ❑ Review / Inspection Scope - ADD FEE Approved By: Date: ELECTR AL/PLUMBING Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: Date: Intake Comments: ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Insp9&ion Required before Final? []Yes []No "In Lieu" Fee: Type: Amount $ School Impact Fee: tal $ Calculated: Credit: El Everett Schoo ist ❑Mukilteo School Dist Additional No s: [Approved By: Date: PUBLIC WORKS Intake OK by: Date: :...__........,_,._.......... ......... _.. _................................. ........ .---- --- Intake Comments: PWWorksheetNeed if: []Sys Dev Eval Traffic Mit Eval ❑Site Work or D inage Proposed 1 ❑Backflow Pr ention for high hazard: I(dental, medic , animals, mortuary, hospital, supportive h sing) ❑Route this folder for PW Review at end - PW Review Worksheet ❑This project also has a separate conc rent PW Review (Green Folder) AND []Create Green Folder ❑Su itted Previously ❑Deferred ❑ This Permit is Approved by P Ic Works ❑ See PW Review Workshe and associated attached items ❑ A Separate PW Per - is Required (Permit #: PW ) AND ❑ Is loca in this folder ❑ I - a Separate Green Folder Qoin with this folder for permit issuance) Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope --- PW Not Required Additional Notes: Approved By: Date: