3825 COLBY AVE 2025-09-24 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) -- PERMIT # T!�>k% 20IZ— CC a - BUILDING Intake OK b Date: Intake Comments: ❑ Route to Commercial Building Route to Residential Building Make this a "W" Permit Bldgfrl/Addn/Rem Size Garage/Accessory Struct. Size Number of Stories Z Basement ❑No ®Yes, Fin nfin Type of Construction Occupancy Group Occupancy Load Fire Sprinklers: ❑Update Existing ❑New System NNot Req'd Reason Sprinklers Required: Fire Alarm: El Update Existing ❑New System RNot Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 91 No Add'[ RCW 64.55 does required prior to final? El Yes IffNo VALUATION CALCULATION: Total $ 35006 Additional Notes: Approved By: "- Date: &S'/(2(Zm 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 Additional Notes: Approved By: Date: PLANNING Intake OK by: Date: Intake Comments: Assign To: 9tRi44-o31 (;v� 2YoJw+�' vnd,r Nt,659-OD�� ❑ Attach to Project No. ❑ Route to Historic Reviewer ❑ OK to Route to Other Departments ❑ Hold in Planning File Drawer Zone Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Planning/Landscape Inspection Required befo ial? ❑Yes ❑No "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ Calculated: Credit: ❑Everett School Dist Mukilteo School Dist Additional Notes: Approved Date: PUBLIC WORKS Intake OK by: Date: ------•--------------------------------•- Intake Comments: :PW Worksheet Needed if., ❑Sys Dev Eva] ❑Traffic MR Eval ❑Site Work or Drainage Proposed :❑Backfiow Prevention for high hazard: (dental, medical, animals, mortuary, hospital, :supportive housing) , ----- _------ _.... ______________________ ❑Route this folder for PW Review at end — PW Review Worksheet ❑This project also has a separate concurrent PW Review (Green Folder) AND ❑Create Green Folder ❑Submitted Previously ❑Deferred 1W This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is located in this folder ❑ Is in a Separate Green Folder (Join with this folderfor permit issuance) ❑ Will be Issued separately (Separate Green Folder, PW issued ahead of Bldg) ❑ Public Works has no scope — PW Not Required Additional Notes: / " y nA0- W 67m -rrG f!.✓Vvey Glee Approved By: Date: 6 1151 U-2Z- Z