1802 75TH ST SW 2024-11-07 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 6230g—0 2-7 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone t,._.['- ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size tiN Nonresidential Use T ) Garage/Accessory Struct.Size Residential Use Number of Stories ( 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 School Impact Fee: Total $ Cert.of Occpuancy Required? No ❑Yes ❑Shell Only Calculated: Credit: Code Year 1:12021 p2018 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing El New System I RNot 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 ®Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 121 No Add'I RCW 64.55 docs required prior to final? ❑Yes ISINo Additional Note' aVALUATION CALCULATION: Total$ 4tta1SPb ( /DA '/2I/z Approve By: '1 le Date: PUBLIC WORKS �i1 Intake OK by: Date: off,I f �1/�CJ7i 92 Intake Comments: PW Review&Worksheet Needed if: ❑Sys Dev Eval: ❑Water ❑Sewer ❑Storm _ Additional Notes: _ � �" 1 " -0IJ E,Ol.k ��.V V t OTraffic Mitigation Eval Approved By: C " Date:(01 11101,3 DSite Work/Drainage(shown/triggered) Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: (dental,medical, Separate/Deferred Submittals Required: animals,mortuary, housing) supportive housing) El Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: 0 This Permit is Approved by Public Works 0 See PW Review Worksheet and associated attached items Fire Dept.Fees: ❑A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is fully El-Minimal or No Fire Scope-NO FIRE FEE 0 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:\K .R l.11,,r\ Date: 9.0 23 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) APublic Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: !!�� Additional Notes: -l"t/"V u' ,�Q� ot\l OlUb19 Approved By: Date: Completed By:L. Date: