9914 18TH AVE W G 2025-03-03 - Laserfiche WebLink

A, uunitci Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 23 C)3 (03 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 / -7J Nonresidential Use Garage/Accessory Struct. Size Residential Use Number of Stories Proposed No.of Dwelling Units: Basement ®No ❑Yes, Fin/Unfin Total No.of Dwelling Units: VA Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group r "in Lieu"Fee:Type: Amount$ Occupancy Load 1'a //I School Impact Fee: Total $ Cert.of Occpuancy Required? ❑No D]Yes ❑Shell Only Calculated: \1-SN(O Credit: Code Year ❑2021 EN2018 112015 ❑Everett School Dist Mukilteo School Dist Fire Sprinklers: ❑Update Existing New System ❑Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: / - J Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System LINot Req'd Fee Schedule Used For Calculation(Year): 20 Z 3 Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 91 No Add'I RCW 64.55 docs required prior to final? ❑Yes 'MNo Additional Notes: VALUATION CALCULATION: Total$ 3C'G ,E C Y /: 7- 5-3-O 6 3 Approved By: IL, Date: 1 Z- l '%3 C 6 x 3e PUBLIC WORKS 02� yS7J 3CI 9F'2'� 4 93cy Intake OK by: Date: Intake Comments: iPWReview&Worksheet Needed if., ❑Sys Dev Eva[ Additional Notes: Cli,1 r7' ta"r X-S-Diwic— ❑Water ❑Sewer ❑Storm � I 't YP,17 Vh iT `C - .5"'01 AY []Traffic Mitigation Eva[ t Approved By: 4:: G� Date: �o� a f❑Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT I❑Backflow Prevention for high hazard: i(dental,medical,animals,mortuary, Separate/Deferred Submittals Required: ;hospital,supportive housing) ire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: K This Permit is Approved by Public Works lKsee 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 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 folderfor permit issuance) Approved By: ,('oc'_J Y7 Date: ❑ WIII be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: Z ?,d2