2313 COLUMBIA AVE B 2025-09-10 - Laserfiche WebLink

Intake $ Approval Sheet ,FOR PERMIT STAFF ONLY) PERMIT#Z 22iC9 _Oj BUILDING PLANNING Intake OK by: Date: 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 00 ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone Number of Stories Overlay/Agreement Basement [SNo ❑Yes , Fin/Unfin Nonresidential Use Type of Construction yt.(_, Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Loader Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System LpNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes []No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ®Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0,No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 does required prior to final? ❑Yes ONo Additional Notes: Oj0/� VALUATION CALCULATION: Total $ 9l) e v r l"II1G b On Q p Approved By: Date: PUBLIC WORKS Intake OK by:_ Date: t I t Additional Notes: Intake Comments:SiiAl d 4"A. PW Worksheet Needed if., []Sys Dev Eval ❑Traffic Mit Eval VV P �► ®Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: A roved B : Date: Q r g p 1 (dental,medical,animals,mortuary,hospital, iah►�l N 1S food /y' ► e, supportive housing) FIRE DEPARTMENT URoute 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: 13 This Permit is Approved by Public Works ® See PW Review Worksheet and associated attached items ®A Se Required(Separate PW Permit is Re Permit#: PW 'LSI�� b06 Fire Dept. Fees: p q ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder VJ PA ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder Coin with this folder for permit Issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ 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 n ,� I A „� 4�1 7�u Additional Notes: Approved By: Date: Approved By Date: