2501 W CASINO RD COMMUNITY TRANSIT 2025-07-28

Intake $ Approval Sheet 'OR PERMIT STAFF ON09 ERMIT # 3-0-3(o oc;;�( BUILDING Intake OK by: Date: Intake Comments: ❑ Make this a "W" Permit ❑ SRC Required (Pre-Insp) Bldg/TI/Addn/Rem Size Garage/Accessory Struct. Size S� Number of Stories Basement ISNo ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Cert. of Occpuancy Required? 1QNo ❑Yes ❑Shell Only Code Year 02021 192018 112015 Fire Sprinklers: El Update Existing El New System Wot Req'd Reason Sprinklers Required: rr��77'''' Fire Alarm: El Update Existing El New System �.rtrvot Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No Add'I RCW 64.55 does required prior to final? ❑Yes UNo VALUATION CALCULATION: Total $_ o Additional Notes: Approved By: (-L Date: 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 FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: T�A Date: Intake Comments: Zone L / Overlay/Agreement Nonresidential Use Gs Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required before Final? ❑Yes ®No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist ❑Mukilteo School Dist Park Impact Fees for permits applied for after 1/1/2022: Park Impact Fee Total $ (net due after credit for existing uses) Fee Schedule Used For Calculation (Year): ........................._......,....,,,,,.................,.....,.. .............. _....., .,,W....,,.,...,.,..., ,............... Qer 9wk c tw,paal- tts...,... .k.?'� Q u�S _ n,o ............................... added QA%k-s orgroS.S' Poor area, .,icl Vfe anchan jed Additional Notes: Approved By: Date: AjpjEf // Zq C3 PUBLIC WORKS Intake OK by: Date: Intake Comments: .............................. M............ W......... ..................... .... .......... ....... .......... _............ iPWReview & Worksheet Needed if: El Sys Dev Eval : ❑Water ❑Sewer ❑Storm ij ❑Traffic Mitigation Eva] !❑Site Work/Drainage (shown/triggered) j❑Address Letter i ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, I hospital, supportive housing) ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is fully digital ❑ Is located in this folder ❑ Is in a Separate Green Folder Qoin with this folderfor permit issuance) ❑ Will be issued separately (Separate Green Folder, PW issued ahead of Bldg) Public Works has no scope on this permit --- PW Not Required Additional Notes: Completed By: Date: