1030 TTEREVE DR 2025-04-18 - Laserfiche WebLink

Intake &Approval Sheet •FOR PERMIT STAFF ONLY) it PERMIT# 2 L d (o . BUILDING NNING Intake OK by: Date: Intake OK by: Assign To: l'i.A. Date: 4iZIo/Z3 Intake Comments: Intake Comments: Zone MO Overlay/Agreement -- ❑ Route to Commercial Building Nonresidential Use -- ❑ Route to Residential Building Residential Use VAC ❑ Make this a"W" Permit Proposed No. of Dwelling Units: _a,� Bldg/TI/Addn/Rem Size Total No.of Dwelling Units: 33 Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes E'No Number of Stories "In Lieu"Fee: Type: Amount$ Basement ❑No ❑Yes , Fin/Unfin School Impact Fee: Total $ Q.5 Type of Construction VA Calculated: Credit: Occupancy Group /2-.7 ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing 0 New System ❑Not Req'd Park Impact Fee Total.$ IG1 (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing El New System ❑Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC19.53.200 0 100%Credit-Issued1/1/2022-9/2/2022 A(64otiecc^Slwc d Reason Fire Alarm Required: 6rnc Iq,yp.o1o, R�gteMG�R} 1 RCW 64.55 MF worksheet req'd for permit? Yes El No 0 50%Credit-Issued 9/3/2022-6/2/2023 6,,I4 Q, Musk 1vG voclt4r 46m, Add'I RCW 64.55 dots required prior to final? ❑Yes ❑No 0 0%Credit-Issued 6/3/2023 or later Waled tAhlouri VALUATION CALCULATION: Total$ do to',66 Additional Notes: 10.ke4 ba41‘ O StdGwwkk. I co^s-tr i 4 34 to.of itss, 4o/ favparenc.I does nod-aQpty . Approved By: Date: y/ Ai • PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval(Util/sW)❑Traffic Mit Eval Approved B .4 Date:O///qf/'62,1 ❑Site Work/Drainage ❑Address Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate I Deferred Submittals Required: ❑Route this folder for PW Review at end ---PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously El Deferred 0 This Permit is Approved by Public Works Fire Dept.Fees: 0 See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE 0 A Separate PW Permit is Required(Permit#:PW ❑ ' al or No Fire Scope-NO FIRE FEE AND El Is located in this folder Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By:cr Y.) ULp.s- Date" ks-2,3 0 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) c(A3 tt Public Works has no scope---PW Not Required ELECTRICAL/PL Additional Notes:Additional Notes: ft✓ 't5 v, I o �'.'tiL no am.'}' 1P 1! " a' 20 -ram► e ()am.' Approved By: Date: Completed 43y: Date: