9916 18TH AVE W B 2025-03-03 - Laserfiche WebLink

u.rv1 i -r 4-lGx Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# T3Z30S-- 6S BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone uga ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Si z j4nz } 'l b/0t-rlk Residential Use " ' Number of Stories .jq7 Proposed No.of Dwelling Units: Basement INNo ❑Yes, Fin/Unfin Total No.of Dwelling Units: -7 Type of Construction .ZrQ�- Planning/Landscape Inspection Required before Final? es r7ko Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load h /,A School Impact Fee: Total $ 11 Cert.of Occpuancy Required? ❑No MYes ❑Shell Only Calculated: 1 I jfS 40 Credit: Code Year 112021 032018 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: I`J ' Park Impact Fee Total$ 21 Z O (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System Not Req'd Fee Schedule Used For Calculation(Year): �Z 3 ------------- ____-____ Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes iff No Add'I RCW 64.55 docs required prior to final? ❑Yes MNo Additional Notes: VALUQTJQI;(CALCULATION: Total l(000dG``�j ' J"t7 jApproved By: Date: ! Z-1- Z -A� 1�6 4 x j�'6— PUBLIC WORKS tau / Intake OK by: Date: a 70, �11Y ° �1?0 Intake Comments: I PW Review&Worksheet Needed if., ❑Sys Dev Eva]: Additional Notes: v'1 IT 4.67 ❑Water ❑Sewer ❑Storm � � J (_ vt CJIz,Cr 7--1P r i❑Traffic Mitigation Eval Approved By: Date: Ja y 7 ❑Site Work/Drainage(shown/triggered) i❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary,!hospital,supportive housing) `Fire Sprinklers ❑Fire Alarm ❑Other: i I 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 fully digital ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder p Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(oin with this folder for permit issuance) roved By: Date: - ❑Will 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: 4 t L v