9906 25TH DR SE 2024-11-07 - Laserfiche WebLink

• • Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# e)2 3 °8 - 0 Z'5 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone ❑ Make this a"W" Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size 40 Z13.6 , OI'1bA) Nonresidential Use Garage/Accessory Struct. Size 44 1 eAtst` • Residential Use r1 F-� `� .tom Number of Stories Z Proposed No. of Dwelling Units: Basement 'No ❑Yes , Fin/Unfin Total No. of Dwelling Units: Type of Construction --; Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group "In Lieu" Fee:Type: Amount$ Occupancy Load 'WL School Impact Fee: Total $ Cert. of Occpuancy Required? ri.No ❑Yes El Shell Only Calculated: Credit: Code Year ❑2021 142018 02015 El Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing El New System PNot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: ❑Update Existing El New System glNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 0 No Add'I RCW 64.55 docs required prior to final? ❑Yes oNo Additional Notes: 1-, VALUATION CALCULATION: Total $ -" f (t/r-� U P "12 I /`-)-h Approved By: Date: / PUBLIC WORKS Intake OK by: Date: Intake Comments: 1PW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: /C//LYin eic rn Pe ❑Water ❑Sewer ❑Storm ❑Traffic Mitigation Eval Approved By:t ) /` Date: I(/3 / I❑Site Work/Drainage(shown/triggered) I❑Address Letter FIRE DEPARTMENT i❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: jhospitl, medical,pr ve animals,oui mortuary, p q hospital,supportive housing) El Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 Is fully digital ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: ,,��,,rr ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) let-Public Works has no scope on this permit--- PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By:>y/f Date: i0 2,./{A L?