4602 COLLEGE AVE 2025-04-14 - Laserfiche WebLink

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT#f722O5-C n BUILDING PLANNING Intake OK by: Date: "t 1 4i, t- Intake OK by: Assign To: Date: 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 0 Hold in Planning File Drawer Garage/Accessory Struct.Size Zone eA Number of Stories I Overlay/Agreement Basement ❑No gYes, Fin/ nfin' Nonresidential Use . Type of ConstructionC— Residential Use Occupancy GroupC Proposed No. of Dwelling Units:Occupancy Load `ca- Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ErNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes El No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing El New System 0Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: � Calculated: Credit: ❑ c RCW 64.55 MF worksheet req'd for permit? Yes �I'No ❑Everett School Dist ii ❑Mukilteo School Dist Add! RCW 64.55 docs required prior to final? El Yes I'No Additional Notes: \ (., . jbr ,...7crr^L`1 1,nWrkre:5, VALUATION CALCULATION: Total $ 1400 Al) (€-;4.AOL.- icl,k U Approved By: ^(i_ Date: �, 7_`7. _Z )\ . UBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: I iPWWorksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval i I❑Site Work or Drainage Proposed Approved By: '.-Q Date: C( 161-1'1 E❑Backflow Prevention for high hazard: :(dental,medical,animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT DRoute 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 El Fire Alarm El Other: AND ❑Create Green Folder ❑Submitted Previously El 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 ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder (join with this folder for permit issuance) ❑ Review/ Inspection Scope-ADD FIRE FEE 0 Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING I Additional Notes: J . G- � C. 3>t t-, r.Z. Approved By: Date: Approved By: Date: