2323 LEXINGTON AVE 2025-07-10 - Laserfiche WebLink

Intake & Approval Sheet !OR PERMIT STAFF ONLY) •RMIT# 823O y-o55 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone UVZ ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size 5 )U 5 f16r' Residential Use R?, Number of Stories I Proposed No. of Dwelling Units: Basement ❑No Dyes , Fin/Unfin Total No.of Dwelling Units: Type of Construction '2(I-L Planning/Landscape Inspection Required before Final? DYes ❑No Occupancy Group 4',t�- "In Lieu" Fee:Type: Amount$ Occupancy Load 'p r(C School Impact Fee: Total $ Cert. of Occpuancy Required?No Yes ❑Shell Only Calculated: Credit: Code Year 02021 02018 ❑2015 DEverett School Dist ❑Mukilteo School Dist Fire Sprinklers: DUpdate Existing ❑New System 'Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: El Update Existing ❑New System , Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes t No Add'I RCW 64.55 docs required prior to final? ❑Yes MNo A itiioon$ Notes: VALUATION CALCULATION: Total$ ( "S / OUJ � I�fl / ` r,171 ,( 4"k G�(,�lcxy`_ Approved By: Date: � !J PUBLIC WORKS Intake OK by: Date: bt1[1,5 12a2-•� Intake Comments: I PW Review&Worksheet Needed if: ��I rr^�W '❑SysDevEval: rJ � DWater ❑Sewer ❑Storm Additional Notes: ( L YW' 11^n^O ,r�0�) A6 Traffic Miti ation Eval Approved By: / Date: ,7 r W ' " "s • DSite Work/Drainage(shown/triggered) i❑Address Letter FIRE DEPARTMENT 10Backflow Prevention for high hazard: {(dental,medical,animals,mortuary, Separate/Deferred Submittals Required: `hospital,supportive housing) ❑Fire Sprinklers ❑Fire Alarm DOther: . 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 ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: L` t )'Q t,,tj yDate: h/_)-�3 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) 0 Public Works has no scope on this permit--- PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: 1Z a ,LAPk'{14 Al) �12/"k 23 Approved By: Date: Completed By: Date: