6920 SEAWAY BLVD 2025-12-12 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING PLANNING Intake OK by: Date: Intake OK by:� Assign To: �255 Date:7 v Z Intake Comments: Intake Comments: Zone L.I..7- Overlay/Agreement A,\A,AC(A ❑ Route to Commercial Building Nonresidential Use L:g��r►ti:na,s :ra� ,QJ t t� ❑ Route to Residential Building Residential Use }JIA ❑ Make this a"W" Permit Proposed No. of Dwelling Units: N1A Bldg/Ti/Addn/Rem Size 1/P Total No.of Dwelling Units: M/A Garage/Accessory Struct.Size Wft Planning/Landscape Inspection Required before Final? ❑Yes Dlo Number of Stories "In Lieu"Fee:Type: Amount$ Basement ®No ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction Af i 6 Calculated: Credit: Occupancy Group AA ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System QNot Req'd Park Impact Fee Total$ n Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System [JNot Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued Ill12022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 does required prior to final? ❑Yes ❑No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 1,-- b. 7-�� Additional Notes:,1,1A 4 AC4, A,-.,xcso r'_ regt1, ce,coC-d'. MC�S� be doY,2 besi-ore- pe�w+�� ;ssv4nce.- ✓yC(,�d c4O. Approved By: Date:9 Z�I► 3 PUBLIC WORKS Additional Notes: Intake OK by: Date: r..w..�................-u................w........»..................................n.-emu.-. "Lkub W�.OVQV/ 'lC Intake Comments: PW Worksheet Needed if: OL ':❑Sys Dev Eval ❑Traffic Mit Eval E [ApprovedBy: (� Date ( l []Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: '(dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT 'supportive housing) Separate/Deferred Submittals Required: ❑Route this folder for PW Review at end --PWReview 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 54 This Permit is Approved by Public Works Fire Dept.Fees: ❑ See PW Review Worksheet and associated attached items map ❑ Review of As-Built Plans-NO FIRE FEE 9 A Separate PW Permit is Required(Permit#: PW IS07-4,6r ) ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder Review/Inspection Scope-ADD FIRE FEE�� ❑ Is in a Separate Green Folder[join with this folderfor permit issuance) Approved By: �L a ' p �� Date: �,\ ti j Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ✓ luo Foa.p E a-- - opo F Avv^coc a Tn tw ❑ Public Works has no scope—PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Approved By: Date: