701 75TH ST SE BLDG 3 SHORESIDE VILLAGE 2025-04-23

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT#Ci:23 2203—O( BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ^ CA ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size �`fi1�� j> ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size Zone t \ ' Number of Stories Overlay/Agreement Basement ' No Yes , Fin/U Nonresidential Use Type of Construction I\ ` ) v Residential Use 1v\� Occupancy Group 1'�Z Proposed No. of Dwelling Units: f\m C\KOWy Occupancy Load Ill, Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ElNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: 10Update Existing CI New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: ?edit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No DEverett School Dist Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes al No Additional Notes' VALUATION CALCULATION: Total $ t{OtDOD.°Q--• Approved By: ij Date: PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: -PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By:'1pk dJ) Date: Lk `I (L7/ ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers I►�'.Fire Alarm ❑Other: AND ❑Create Green Folder ['Submitted Previously ODeferred 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 located in this folder Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/ Inspection Scope-ADD FIRE FEE I ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By .QQQ (�y..e634a 1\te: 122.-- ct Public Works has no scope PW Not Required g Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: