225 97TH PL SE 2025-04-23 - Laserfiche WebLink

intake &Approval Sheet •(FOR PERMIT STAFF ONLY) PERMIT# BUILDING 4PLANNING SS ,) Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone 'Q,.— 1 Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use >VF H- ❑ Make this a"W"Permit Proposed No. of Dwelling Units: Bldg/Tl/Addy em Sizz /SZS S/ Total No.of Dwelling Units: Garage/Accessory Struct. Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories ( "In Lieu"Fee:Type: Amount$ Basement 2No ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for perm;,ts applied for after 1/1/2022: Fire Sprinklers: Update Existing New System lot Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System +Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes 'No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes JNo 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ S3t©c,(7 Additional Notes: C,r4r is — I I LI /V) Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Utii/SW)❑Traffic Mit Eval Approved By: \Q Date: 5 f lO f 7�2-3 ❑Site Work/Drainage OAddress Letter l ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: ❑Route this folder for PW Review at end ---PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred This Permit is Approved by Public Works Fire Dept. Fees: ❑ See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit#: PW ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: /n Approved By: Date: Completed By. 11) Date: D.3,b4 `261.3