3003 W CASINO RD BLDG 40-23 2019-06-19

Intake & Approval Sheet (FOR PERMIT STAFF ONLY PERMIT# 1✓ I(6 --621 BUILDING PLANNING Intake OK by: Date: Intake OK by: Date: Intake Comments: Intake Comments: Assign To: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg fi ddn/Rem Size 0 Hold in Planning File Drawer Garage/Accessory Struct. Size Zone I"\-2., Number of Stories -- Overlay/Agreement Basement 'No ❑Yes , Fin/Unfin Nonresidential Use Type of Construction ' .— g, Residential Use Occupancy Group F - d_ Proposed No. of Dwelling Units: Occupancy Load — Total No. of Dwelling Units: Fire Sprinklers: Update Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinkl rs Required: -,ctsn "In Lieu" Fee:Type: Amount$ Fire Alarm: Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: - -x c S� Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 16No ❑Everett School Dist ❑Mukilteo School Dist Add!RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total$ '541)9-00 I Approved By: Date: C3k,VA.7— CAS/-PUBLIC WORKS •' Intake OK by: __(.41tY t Date: EV ''g Additional Notes: Intake Comments:e� PW Works eet Needed if: . ft f -�t' oY 4 ❑Sys Dev Eval Traffic Mit Eval 6�( @ ❑Site Work or Drainage Proposed T SIVE ❑Backflow Prevention for high hazard: Approved By: Date: �� 151 �Q! (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Intake: (Needed for Townhomes,Alley load SFR,New Commercial) ❑This project also has a separate concurrent PW Review(Green Folder) El Route to Fire Drawer---Fire Preliminary Review Notice AND ❑Create Green Folder ❑Submitted Previously ❑Deferred ❑Sending Fire Notes to Project Team 0 This Permit is Approved by Public Works Date: (OK to Route to Other Departments)_ 0 See PW Review Worksheet and associated attached items Fire Sprinklers: ®Update Existing ❑New System '- 0 A Separate PW Permit is Required(Permit#: PW ) Fire Alarm: Update Existing ❑New System r� .., q'd AND 0 Is located in this folder Chemical Sup: 0 Update Existing ❑New System al Not Req'd 0 Is in a Separate Green Folder(join with this folder for permit issuance) Additional Notes: n ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: §1f Date:T-Z 1 "[g lifPublic Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By:�ij Date: ' Fi' hI.