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

Intake &Approval Sheet (FOR PERMIT STAFF ONLr PERMIT#f5nOS 3 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 BIdg/TI/Addn/Rem Size 6% Nonresidential Use Garage/Accessory Struct.Size 5`37Y S Residential Use Number of Stories 3 Proposed No.of Dwelling Units: \ Basement 12No ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes ®No Occupancy Group ./" C. "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ Cert.of Occpuancy Required? ❑No MYps ❑Shell Only Calculated: \\,1i" Cr dit: Code Year ❑2021 2018 ❑2015 []Everett School Dist IOMukil o School Dist Fire Sprinklers: []Update Existing ®New System ❑Not Req'd Park Impact Fees for permits ap ied for after 11112022: Reason Sprinklers Required: _ Park Impact Fee Total$ '�I`b0 (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System El Not Req'd Fee Schedule Used For Calculation(Year):-------------- Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No Add'I RCW 64.55 docs required prior to final? []Yes fNo Additional Notes: VALUATION CALCULATION: l�Tpotal$ OZ�61-16 I'-6 cl � s.! O' 63 Approved By: r Date: )j,. -7, "Z Q PUBLIC WORKS 1;ZC0� �/v u �` d G i o �- p� ��/ Intake OK by: ——_..----_____ _ Intake Comments: LPINReview&Worksheet Needed if. 1 6 7 j❑Sys Dev Eval Additional Notes: 57/,Wty LoT fv$v�y1i�^ l ❑Water ❑Sewer []Storm l i'"yr 7,--YPL `Uh IT C 5�m i❑Traffic Mitigation Eval Approved By: Date: %a 7 ❑Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary, Separate/Deferred Submittals Required: hospital,supportive housing) 111171 Sprinklers ❑Fire Alarm El Other: 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 r Review/Inspection Scope-ADD FIRE FEE Is in a Separate Green Folder(join with this folder for permit issuance) proved By: t Date: — 3 ❑ 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 B Date: or 4, t