2 W CASINO RD BLDG C 2025-08-21 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#Z2. UcJ�- BUILDING rLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No. of Dwelling Units: = __r__ Bldg/TI/Addn/Rem Size Total No.of Dwelling Units: Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories "In Lieu" Fee:Type: Amount$ Basement IgNo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group [2 -A ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load O/A Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System Mot Req'd Park Impact Fee Total Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ETUpdate Existing ❑New System El Not Req'd Permit Technicians:Apply Credit Per EMC19.63.200 Reason Fire Alarm Required: zk' ❑ 100%Credit-Issued 1/l/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑yes No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ Additional Notes: r() fc'rti Approved By: Date: PUBLIC WORKS Additional Notes: [r�s �/� S` �(��(j✓ Intake OK by: Date: -- ------------- ---------- �, / Intake Comments: ;PW Worksheet Needed if: 0)171 1 OP :❑Sys Dev Eval ❑Traffic Mit Eval Approved By: L Date: �� >> ✓ ;❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT ;supportive housing) Separate/Deferred Submittals Required: El Route this folder for PW Review at end ---PW Review Worksheet El 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 On 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 ) Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(loin with this folderfor permit issuance) Approved By: Date: G �l �i° ❑ Will be issued separately(separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope---PW Not Required __ELECTRICAL/PLU M BING Additional Notes: Additional Notes: �r �� E�&fI�) ""Ul�l(� Approved By: Date: [Approved B Date: