701 75TH ST SE BLDG 4 SHORESIDE VILLAGE 2025-04-23

Intake & Approval Sheet (FOR PERMIT STAFF ONL19 • PERMIT#C62--2 3 oi4 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Q\ \d \LO G\Noi\clk ❑ 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 es/45 ❑ Hold in Planning File Drawer ) Garage/Accessory Struct. Size — Zone Ukk<S Number of Stories _ 3 Overlay/Agreement Basement �No ❑ s , Fin/Unfin Nonresidential Use Type of Construction )1 Q5 Residential Use J\W Occupancy Group g1I 2-, Proposed No. of Dwelling Units: 6\ __ J" Occupancy Load �/�, w - Total No. of Dwelling Units: Fire Sprinklers: Ill Update Existing ❑New System 12jNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers hRequired: "In Lieu" Fee: Type: Amount$ Fire Alarm: L7slUpdate Existing El 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 ® No ❑Everett School Di ❑Mukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ®No Additional Note: VALUATION CALCULATION: Total $ (60,D OD.Di Approved B Date: \ �Z PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval El Site Work or Drainage Proposed Approved By: 'Y. .itt, Date: Li i 112Z i❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, !supportive housing) FIRE DEPARTMENT El 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 afFire Alarm ❑Other: AND OCreate Green Folder ❑Submitted Previously ❑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 51 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 El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: ..Q.Q,C,'�Ztt -(Jl ate: I t I IZZ Public Works has no scope--- PW Not Required l"� J Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: