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

Intake & Approval Sheet 0 (FOR PERMIT STAFF ONLY. • PERMIT# 61/)(q l ...-DO . BUILDING PLANNING Intake OK by: Date: Intake OK by: P'1" Assign To: 1 C1 Date: )Z 19-19 Intake Comments: Intake Comments: a, It -- 12. 1�1 I j ,fie No. 18 ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 141 OK to Route to Other Departments Bldg/Tl/Addn/Rem Size ❑ Hold in Planning File Drawer i 1 Garage/Accessory Struct. Size 1 c�0� �� Zone -- �r Number of Stories ( Overlay/Agreement Basement OW ❑Yes , Fin/Unfin Nonresidential Use Type of Construction CJ7 j Residential Use S�- Occupancy Group V Proposed No.of Dwelling Units: -� Occupancy Load t1/4- Total No.of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System allot Req'd Planning/Landscape Inspection Required before Final? ❑Yes INo Reason Sprinklers Required: "In Lieu"Fee:Type: Amou $ Fire Alarm: ❑Update Existing ❑New System DitNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes g No ❑Everett School Dist ❑Mukilteo Sch I Dist Add.'RCW 64.55 docs required prior to final? ❑ la No No Additional Notes: A i f acJ maelt4i) VALUATION CALCULATION: Total$ tit cam.) I\ICYr An: V-6-0 F00.-- Approved By; Date; , 3, 2,0 i 14 4 LE- 5 f, PUBLIC WORKS Intake OK by: --r-t-x Date: 12 I tct 1,Zp f 4 _..._.._ Additional Notes: 2C>i$ ,eC Intake Comments: iPWWorksheetNeededif:• A 4`1-r``a"'ca,iZ viasa-.C- OSys Dev Eval ❑Traffic Mit Eval I OSite Work or Drainage Proposed �o -1N 1 S��e- 1 OBackflow Prevention for high hazard: Approved By: CO'}�{ Date: f�311ZQ i(dental,medical,animals,mortuary,hospital, _supportive housing) . FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) CI Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ; CI 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 ❑ Will be issued.separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ► 'ublic Works has no scope---PW Not Required Additional Notes I2//et !200 ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: Vz_