2405 75TH ST SE 2025-01-15 - Laserfiche WebLink

ii • Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# ems( f I Z- co 2- BUILDING PLANNING Intake OK by: Date: Intake OK by: y...11" Assign To: Date: li-iq-1 Intake Comments: Intake Comments: 1J cb ofe;� cor - r2.1 41 .tit i ci1e NOS Te0 ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit OK to Route to Other Departments Bldg/TI/Addn/Rem Size 9361 0 Hold in Planning File Drawer Garage/Accessory Struct.Size 2.S(o Zone g- , Number of Stories 2. Overlay/Agreement Basement ❑No BYes , Fin apik Nonresidential Use ,� t� LL'�� Type of Construction . g Residential Use I t,U • mil` Occupancy Group R Proposed No.of Dwelling Units: — Occupancy Load Ai/4- Total No.of Dwelling Units: 1 Fire Sprinklers: CI Update Existing :blew System JNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes I o Reason Sprinklers Required: "In Lieu"Fee:Type: Amount Fire Alarm: ❑Update Existing ❑New System 8-Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: dit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 'No ❑Everett School Dist ❑M liteo School Dist �' Add'I RCW 64.55 docs required prior to final? ❑Yes 131No Additional Notes: 4 o' - o J 6e/ze -WA CO 494) `"e'^t) VALUATION CALCULATION: Total$ 4O Ck200 fo 8t4/ Ja,takwlr ono /'Gt•av4 or °ierei'Cd a-, P d- Approved By: K,..4 Date: I.r -Lb PUBLIC WORKS Intake OK by:• C-1.- Date: 12.11q i'zv 1 q Additional Notes: Z O/S- /RC. iit, vorer... Intake Comments: ipW Worksheet Needed if. I a-A-TE-¢`o or— w" - i❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed _j Approved By: Date: C7�/_ 2.0 """c' 1)IM SC'e'"-- IDBackflow Prevention for high hazard: i(dental,medical,animals,mortuary,hospital, _supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑This Permit is Approved by Public Works ❑ 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 located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/Inspection Scope-ADD FIRE FEE _ El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: IJ Public Works has no scope---PW N t Requ' ed Additional Not -:-ter % ;i i2I 1112>rt ELECTRICAL [[[[[ Additional Notes: Approved By: Date: Approved By: Date: ��