9502 18TH AVE W H 2025-01-30 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# L�-� —04 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone G' j 7 ❑ Make this a"W" Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement �✓/y Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct. Size U as Residential Use Number of Stories a Proposed No.of Dwelling Units: i Basement 1,M No ❑Yes, Fin/Unfin Total No.of Dwelling Units: G Type of Construction - �, Planning/Landscape Inspection Required before Final? .oyes ❑No Occupancy Group "In Lieu"Fee:Type: — Amount$ -- Occupancy Load School Impact Fee: Total $ Z Cert. of Occpuancy Required? El No Yes ❑Shell Only Calculated: / / L/ Credit: _60- Code Year ❑2021 1212018 112015 ❑Everett School Dist 'gMukilteo School Dist Fire Sprinklers: El Update Existing El New System ©Not Req'd Park Impact Fees for permits applied for after 1/112022: Reason Sprinklers Required: Park Impact Fee Total (net due after credit for existing uses) Fire Alarm: El Update Existing ❑New System EgNot Req'd Fee Schedule Used For Calculation(Year): c;p?U 3 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 SNo Additional Notes: VALUATION CALCULATION: Total$ 3T Dj�j-- Approved By: 1_ c -z-- Date: PUBLIC WORKS Intake OK by: Date: Intake Comments: �_~Y ��-- i PW Review&Worksheet Needed if.- III❑Sys Dev Eval: Additional Notes: I ❑Water ❑Sewer ❑Storm I ❑Traffic Mitigation Eva] Approved By: Date: j rl ❑Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT j❑Backflow Prevention for high hazard: (dental,medical,animals Separate/Deferred Submittals Required: 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: ❑ A Separate PW Permit is Required(Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is fully digital inimal 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 folder for permit issuance) Approved By: r6 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: 1 Date: tQ (� a�