2902 RUCKER AVE FAST SIGNS 2024-10-25

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# $ �So 5-0 77 BUILDING • • •NNiNG intake OK by: Date: intake OK by: Assign To: Jess Date:(o//N/23 intake Comments: Intake Comm s: Zone M Overlay/Agreement Me{ro,WatOn Ptah M0+ors Vol 9- ❑ Route to Commercial Building Nonresidential Use enclosed erY4erkainnnery, & Greavion ❑ Route to Residential Building Residential Use N/A ❑ Make this a"W" Permit Proposed No.of Dwelling Units: [v/A Bldg/TI/Addn/Rem Size Total No. of Dwelling Units: N/A Garage/Accessory Struct.Size PIanning/Landscape Inspection Required before Final? DYes iNo Number of Stories "In Lieu"Fee:Type: Amount$0 Basement ❑No DYes, Fin/Unfin School Impact Fee: Total $ O Type of Construction V j3 Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/112022: Fire Sprinklers: ['Update Existing ONew System tctNot Req'd Park Impact Fee Total$ 0 (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: DUpdate Existing ❑New System 214Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.63.200 Reason Fire Alarm Required: ❑ 100%Credit-issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? DYes ❑ No ❑ 50%Credit-Issued 0/3/2022-6/2/2023 Add'i ROW 64.55 docs required prior to final? DYes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 50,000,00 Additional Notes: Approved By" ,¢ �j Date:(ON/23 • PUBLIC WORKS • . . Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/SW) OTraffic Mit Eval Approved B Date:mesizgi'7d2Js ❑Site Work/Drainage DAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, 'FIRE DEPARTMENT supportive housing) Separate 1 Deferred Submittals Required: DRoute this folder for PW Review at end --PW Review Worksheet ❑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 D Minimal or No Fire Scope-.NO FIRE FEE AND ID 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: P n Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) �= 'ublic Works has no scope--PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: ALL.. cs.•o a- S ea,pc, Approved By: Date: Completed B, e " Date: (g,�a t 24,2.5