906 SE EVERETT MALL WAY HERITAGE BANK 2025-01-24

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#?)2d— ' O 32 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To:1tcti Date: Lilt 4Iti&l Intake Comments: Intake Comments: Zone M V ❑ Make this a"W" Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/ ize 76 L J w Nonresidential Use fa. Garage/Accessory Struct. Size Residential Use Number of Stories r-f I -[/,;,;/ Proposed No. of Dwelling Units: 0 Basement ❑No ❑Yes , Fin/Unfin Total No. of Dwelling Units: t Type of Construction r — (Z. Planning/Landscape Inspection Required before Final? ❑Yes 'No Occupancy Group 1'- _ "In Lieu" Fee: Type: . Amount$ Occupancy Load I t School Impact Fee: Total $ (� Cert. of Occpuancy Required? .No ❑Yes ❑Shell Only Calculated: Credit: Code Year �.02021 2018 02015 ❑Everett School Dist ❑Mukilteo School Dist �ri Fire Sprinklers: L Update Existing ❑New System ❑INot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: I14%-1) to t. (A -1 Park Impact Fee Total$ 0 (net due after credit for existing uses) Fire Alarm: lri Update Existing El New System Mot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: v\4N-2 L 'f RCW 64.55 MF worksheet req'd for permit? EI`'"'Yes No Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: Oc4 ce,VD oc'k--Zce-- 'C 't• VALUATION CALCULATION: Total $ q ,V;J✓ Approved By: / Date: 'J/29124l PUBLIC WORKS l Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: ❑Sys Dev Eval : Additional Notes: DWater ❑Sewer ❑Storm ❑Traffic Mitigation Eval Approved By: L�' ADate: i ( �)1,'j I❑Site Work/Drainage(shown/triggered) .11 1OAddress Letter FIRE DEPARTMENT l OBackflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,r animals,houi mortuary, ( � hospital,supportive housing) Fire Sprinklers 'Fire Alarm ❑Other: Additional Notes: ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 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 la Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: (,P)ra w,,l Date: S -7,2 u ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ci Public Works has no scope on this permit--- PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: / Approved By: Date: Completed By: _ ,,/ 4 t,( �.r Date:( ' ( q�! , 7>Ov`1