9700 HOLLY DR 2025-07-10 - Laserfiche WebLink

•Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# t 21 D5- 64 3 BUILDING PLANNING Intake OK by: Date: Intake OK by: 1 Assign To:0*d fg, Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑Attach to Project No. ❑ Route to Residential Building ❑XOK Route to Historic Reviewer El Make this a"W"Permit to Route to Other Departments Bldg/TUAddn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Overlay/Agreement Basement El No ❑Yes, Fin/Unfin Nonresidential Use schao Type of Construction ` Residential Use Occupancy Group e Proposed No.of Dwelling Units: Occupancy Load Total No.of Dwelling Units: Fire Sprinklers: El Update Existing [New System ININot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing El New System ,Callot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes P- No El Everett School Dist ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes o Additional Notes: VALUATION CALCULATION: Total$ /3'/060•DO Approved By: OE Date: 6,7if 724 PUBLIC WORKS Intake OK by: . Date: Additional Notes: Intake Comments: IPW Worksheet Needed if: IDSys Dev Eval ❑Traffic Mit Eval !Mite Work or Drainage Proposed Approved B .�, j, Date:©6/Oq Zdzio IOBackflow Prevention for high hazard: ;(dental,medical,animals,mortuary,hospital, 1supportive housing) FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder OSubmitted Previously El Deferred 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 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:�Z CUuJc Date: 5 - ,5--ai ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: