701 75TH ST SE BLDG 8 SHORESIDE VILLAGE 2025-05-15

Intake & Approval Sheet • (FOR PERMIT STAFF ONLY) • PERMIT tN3,12203 — �1 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: W ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building 0 Route to Historic Reviewer ❑ Make this a"W" Permit ❑ OK to Route to Other Departments Bldg/TI/Addn/Rem Size e-41`4-l\fort El Hold in Planning File Drawer Garage/Accessory Struct. Size --, _ J Zone Uk S Number of Stories Overlay/Agreement Basement ONo 'Yes , Fin/Unfin Nonresidential Use Type of Construction Residential Use f�. Occupancy Group Proposed No. of Dwelling Units: Cj\KO Occupancy Load V\ I/h Total No. of Dwelling Units: Fire Sprinklers: El Update Existing New System 5Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee:Type: Amount$ Fire Alarm: RIUpdate Existing El New System El Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: rrcc�� Calculated: Cr ' . RCW 64.55 MF worksheet req'd for permit? ❑Yes LL^1 No El Everett School Dist ukilteo School Dist Add'I RCW 64.55 docs required prior to final? ❑Yes ®No Additional Notes: VALUATION CALCULATION: Total $ 50 1000.°� Approved B . Date: 3 \c. PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: IPW PWWorkshee(Needed if: i❑Sys Dev Eval OTraffic Mit Eval ❑Site Work or Drainage Proposed .L ❑Backflow Prevention for high hazard: Approved By: ,�,� Date: y I(I 2 (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) OFire Sprinklers pFire Alarm ❑Other: AND El Create 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 ❑ 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 ADDFIRE FEE ElWill be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By:11,QQ,t-1 A(' P- }Date:Lt I)I I2-2i t2i Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: Date: