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3003 W CASINO RD BLDG 45-04 2019-02-21
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3003 W CASINO RD BLDG 45-04 2019-02-21
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Last modified
2/21/2019 9:28:35 AM
Creation date
2/21/2019 9:28:12 AM
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Address Document
Street Name
W CASINO RD
Street Number
3003
Tenant Name
BLDG 45-04
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Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 1 ( CA1)0-3 <br /> BUILDING PLANNING <br /> Intake OK by: Date: Intake OK by: Date: <br /> Intake Comments: Intake Comments: Assign To: <br /> ❑ Route to Commercial Building 0 Attach to Project No. <br /> ❑ Route to Residential Building 0 Route to Historic Reviewer <br /> ❑ Make this a"W" Permit 0 OK to Route to Other Departments <br /> Bld&Addn/Rem Size 3 t®® 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct. Size '' Zone P --2 <br /> Number of Stories J jr Overlay/AgreementMA_S.L-ca.— 'PJA.v..-- <br /> Basement ONo ❑Yes , Fin/Unfin Nonresidential Use Vt'tairNik4-zc. n <br /> ca- <br /> Type of Construction '® ,r Residential Use <br /> Occupancy Group a Proposed No. of Dwelling Units: <br /> Occupancy Load JO Total No. of Dwelling Units: — ,�,/ <br /> Fire Sprinklers:TZUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes L2No <br /> Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ <br /> Fire Alarm: I(P Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: .2 " 116 Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? ❑Yes t►d No ❑Everett School Dist ❑Mukilteo School Dist. <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes LLINo Additional Notes: <br /> VALUATION CALCULATION: Total$ .7 417 S <br /> Approved Y: Date: q i r <br /> PUBLIC WORKS <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: PW Worksheet Needed if: <br /> ❑Sys Dev Eval ❑Traffic Mit Eval <br /> ❑Site Work or Drainage Proposed <br /> Approved By: Date: d,„t <br /> 8 ❑Backflow Prevention for high hazard: <br /> (dental,medical,animals,mortuary,hospital, <br /> supportive housing) <br /> FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) <br /> ❑Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred <br /> Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works <br /> Date: 9/*//( (OK to Route to Other Departments) 0 See PW Review Worksheet and associated attached items <br /> Fire Sprinklers:ElUpdate Existing ❑New System ❑ Not Req'd 0 A Separate PW Permit is Required (Permit#: PW ) <br /> Fire Alarm: rUpdate Existing ONew System 0 Not Req'd AND 0 Is located in this folder <br /> Chemical Sup: ❑Update Existing ❑New System 0 Not Req'd 0 Is in a Separate Green Folder coin with this folder for permit issuance) <br /> Additional Notes: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: -.C.,-0,j ciL Date: Gl/) Z i fj 0 Public Works has no scope---PW Not Required <br /> Additional Notes: <br /> ELECTRICAL Md- ra?LU, <br /> k. _.e1) <br /> Additional Notes: <br /> Approved By: Date: Approved By: Date: <br />
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