5901 23RD DR W ZAP ENERGY 2025-04-23

Intake &Approval Sheet 110 (FOR PERMIT STAFF ONLY) • PERMIT# b Zl 6-t-blVl-k BUILDING PLANNING Intake OK by: Date: Intake OK I �r _.:‘"----"Assign To: '1bCQ.P Date: 14,n A Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit 0 OK to Route to Other Departments Bldg�fl/Add Rem Size 6 3C L 4' ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size / Zone 1,-3 'I- Number of Stories /14L 2-z + ! Overlay/Agreement (�� 1 Basement �No ❑Yes , Fin/Unfin Nonresidential Use QWCQ I \,J'Q.C6muSt Type of Construction V'' 8 Residential Use -� Occupancy Group c t /6 Proposed No.of Dwelling Units: Occupancy Load 3-0 Total No.of Dwelling Units: Fire SprinklersTinUpdate Existing ❑New System ❑Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: inUpdate Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes 14 No ❑Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? DYes 'I No Aid onal Notes: \ VALUATION CALCULATION: Total$ 7 /0`O•° (3-�- AC'Q Y&'k A(0\A 0" 0.l`CQ$SC f �� Approved By - Date: ..4.--' ---_��, PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 1PW Worksheet Needed if: 1❑Sys Dev Eval OTraffic Mit Eval • . ❑Site Work or Drainage Proposed Approved By: Date 5/Jp/ OBackflow 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) likkg_SPrinklers Aire Alarm DOther: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: `` r his 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 ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By17.1 ' D>t Date: 5—/3:-2/ 0 Public Works has no scope---PW Not Required Additional Notes:.-1,,7-- �Ft` et t -r.o rt o az- ELECTRICAL -c,-.c. wtA1LCHlwsc_ To e.Ft"tcf_ Additional Notes: Approved By: Date: Approved By:-`� -�,,1�.../ b Date: o(a (? I Z0Lc