1030 TTEREVE DR 2025-04-18 - Laserfiche WebLink

Intake &Approval Sheet PERMIT STAFF ONLY) PERMIT# 13 3 03 J 0 513 BUILDING 4(FOR •ANNING intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone _ Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No.of Dwelling Units: BldglTl/Addn/Rem Size Total No.of Dwelling Units: _ Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories "In Lieu"Fee:Type: Amount$ Basement ❑No ❑Yes, Fin/Unfin School impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: DUpdate Existing ❑New System ❑Not'Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMCI 9.53.200 Reason Fire Alarm Required: El 100%Credit-issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? DYes ❑ No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'l ROW 64.55 docs required prior to final? ❑Yes ❑No El 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ Additional Notes: Approved By: l Date: LI/I/73 PUBLIC WORKS . Additional Notes: intake OK by: Date: Intake Comments: PW Worksheet Needed if ❑Sys Dev Eval(Util/SW) OTraffic Mit Eval Approved B} Date:p,? ze yr ❑Site Work/Drainage OAddress Letter ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT • supportive housing) Separate/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 ❑Deferred 0 This Permit is Approved by Public Works Fire Dept.Fees: ❑See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit#: PW ) Minimal or No Fire Scope-NO FIRE FEE AND El Is located in this folder Review/inspection Scope-ADD FIRE FEE J ❑ Is in a Separate Green Folder(loin with this folder for permit issuance) Approved By: �7�� Date: G/'�/d7� El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ((( 1g Public Works has no scope--PW Not Required EL.ECTRICALfRLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed B s Date: 244.