701 75TH ST SE BLDG 7 SHORESIDE VILLAGE 2025-05-16

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT#` 22-0 3- O< to BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: b \Q) s ‘i\6 Ck4J\kV\ ❑ Route to Commercial Building 0 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/TI/Addn/Rem Size •Q,4chy� p� El Hold in Planning File Drawer Garage/Accessory Struct. Size "" Zone U\KS Number of Stories 2 Overlay/Agreement Basement f/3No es , Fin/Unfin Nonresidential Use Type of Construction V - N V t Residential Use Iv\ Occupancy Group t2.12- Proposed No. of Dwelling Units: VVi Occupancy Load IA I A- Total No. of Dwelling Units: Fire Sprinklers: ❑Update Existing ❑New System ia,INot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: Update Existing ❑New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: dit: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No ❑Everett School Dist ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: VALUATION CALCULATION: Total $ 20,O . Approved B i7 Date: 4S_\S-2o22 PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: 1PW Worksheet Needed if: ❑Sys Dev Eval OTraffic Mit Eval ❑Site Work or Drainage Proposed Approved Byre Q,Q,� j} Date: 1-1 I i I2Z ❑Backflow Prevention for high hazard: I(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 Fire Alarm ❑Other: AND El Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: ❑ This Permit is Approved by Public Works 0 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 0,Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder Qoin with this folder for permit issuance) ❑ Review/ Inspection Scope-ADQFIRE FEE ❑ Will be issued separately(Separate Green Folder,Peed ahead of Bldg) Approved By ., r fOf '6I^Date: t-`'[1 I2-2-"" d Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: