2932 COLBY AVE GOLDEN SMOKE HOUSE 2025-04-16

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT# 22E 3 BUILDING PLANNING Intake OK by: Date: Intake OK by:a Assign To: 41P,Z,./5 Date: 3/I(.p/Z7. Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a "W" Permit 'OK to Route to Other Departments Bldg/TI/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone I/yl\) Number of Stories Overlay/Agreement Basement ❑No ❑Yes , Fin/Unfin Nonresidential Use ,Vtetio -t J- C L. -f Type of Construction Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing El New System E1 Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing ❑New System KiNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes RI No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes 10No Additional Notes: VALUATION CALCULATION: Total $ to Approved By: /V_6 Date: 3/j0-S-/jo _ PUBLIC WORKS Intake OK by: Date: Intake Comments: Additional Notes: PW Worksheet N SEA eede.........................,......,,............................. ... "R` t`� �.rum �u ��wr�� d if: ❑Sys Dev Eval ❑Traffic Mit Eval OSite Work or Drainage Proposed J� ❑Backflow Prevention for high hazard: Approved BS6 a ► Date: (dental,medical,animals,mortuary,hospital, /' ► . / I_1 'supportive housing) IRE(DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This 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 0 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 ❑ Is located in this folder O Minimal or No Fire Scope- NO FIRE FEE ❑ Is in a Separate Green Folder tom with this folder for permit issuance) Review/ lnspectio Scope-ADD FIRE FEE 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved ByV Date: lb , :4_1D Public Works has no scope--- PW Not Required t t,' Additional Notes: .TRICAL Additional Notes: Approved By: Date: Approved By: Date: