5901 23RD DR W ZAP ENERGY 2023-10-23

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# I6aato_O 75 BUILDING •LANNING Intake OK by: Date: Intake OK by:UO Assign To: jeSS Date: I 1 I1.3/ZZ Intake Comments: Intake Comments: Zone LT Z Overlay/Agreement A t A#ACA ❑ Route to Commercial Building Nonresidential Use W are-lovse-e tethrortGS ❑-Route to Residential Building Residential Use_ Co d o 0�seryd'l ❑ Make this a"W" Permit Proposed No. of Dwelling Units: N/A Bldg/TI/Addn/Rem Size Total No. of Dwelling Units: '' , Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes EINo Number of Stories "In Lieu" Fee:Type: Amount$ Basement ❑No ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction -5 Calculated: Credit: Occupancy Group ) / $ I ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits a "for after 1/1/2022: Fire Sprinklers:gklpdate Existing ❑New System ❑Not Req'd Park Impact Fee Total (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Use or Calculation(Year): Fire Alarm: ,Update Existing ❑New System ❑Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? Dyes I No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? oyes pNo 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ e..0 DOD a, Additional Notes: Approved By: Date: i‘)23 IZZ PUBLIC WORKS Additional Notes: Intake OK by:—0--- Date: tO 1111Za22 Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/SW) ❑Traffic Mit Eval Approved By ).A Date:/ 71re ❑Site Work/Drainage DAddress Letter / / ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: DRoute this folder for PW Review at end ---PW Review Worksheet 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 0 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 0 Is located in this folder 1KLReview/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: , EDuct\ Date: 1 '-9f ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) 'f�Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: ( 10 I,b 1I 2® Approved By: Date: Completed Date: /Z-