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1613 ORCA VIEW LN 2025-08-14
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1613 ORCA VIEW LN 2025-08-14
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Last modified
8/14/2025 11:05:14 AM
Creation date
3/13/2025 9:59:19 AM
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Address Document
Street Name
ORCA VIEW LN
Street Number
1613
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Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# '(:)5 —°51— <br /> BUILDING / 2� PLANNING.' • . . • <br /> Intake OK by: je/'— Date:7/ ` mil"G 2 Intake OK by: Assign To: Date: <br /> Intake Comments: Intake Comments: <br /> 0 <br /> ❑ Route to Commercial Building ❑Attach to Project No. <br /> ❑ Route to Residential Building 0 Route to Historic Reviewer <br /> ❑ Make this a"W"Permit ❑OK to Route to Other Departments <br /> Bldg/T�em Size ` f(Q 5f 0 Hold in Planning File Drawer <br /> Garage/Accessory Struct.Size Zone 9-1 <br /> Number of Stories "2-- Overlay/Agreement <br /> Basement , No ❑Yes, Fin/Unfin Nonresidential Use . <br /> Type of Construction -TAt` Residential Use 6(12-- <br /> Occupancy Group G Proposed No.of Dwelling Units: <br /> Occupancy Loader Total No.of Dwelling Units: <br /> Fire Sprinklers: ['Update Existing ONew System .RINot Req`d Planning/Landscape Inspection Required before Final? ❑Yeslo <br /> Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ <br /> Fire Alarm: ❑Update Existing ONew System Not Req'd School Impact Fee: Total $ <br /> Reason Fire Alarm Required: Calculated: Credit: <br /> RCW 64.55 MF worksheet req'd for permit? DYes No ['Everett School Dist DMukilteo School Dist <br /> Add'I RCW 64.55 docs required prior to final? ❑Yes No Additional Notes: OD Af;;;').e— L4,3(e-/ '`' <br /> VALUATION CALCULATION: Total$ /eZX90 . k o, 0 f s,�er )1-- <br /> l o <br /> Approved By: 't , Date: (0,2"7.22 <br /> P LIC WORKS' <br /> Intake OK by: Date: <br /> Additional Notes: Intake Comments: IPW Worksheet Needed if: <br /> 'OSys Dev Eval ❑Traffic'Mit Eval <br /> • <br /> . IOSite Work or Drainage Proposed• <br /> Approved By: ,,,..- Date: 7/13/2022 OBackflow Prevention for high hazard: <br /> :(dental,medical,animals,mortuary,hospital, <br /> ;supportive housing) <br /> - FIRE DEPARTMENT ❑Route this folder for PW Review at end ---PW Review Worksheet <br /> Separate I Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) <br /> ['Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ['Submitted Previously ❑Deferred <br /> Additional Notes: ) 0 This Permit is Approved by Public Works • ': <br /> 0 See PW Review Worksheet and associated attached items <br /> Fire Dept. Fees: ❑ A Separate PW Permit is Required(Permit#: PW ) <br /> ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder <br /> ❑ Minimal or No Fire Scope-NO FIRE FEE 0 Is in a Separate Green Folder coin with this folder for permit issuance) <br /> ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) <br /> Approved By: Date: likiatiblic Works has no scope--PW Not Required <br /> Additional Notes: <br /> ELECTRICAL <br /> Additional Notes: �v (a 13124 21- <br /> Approved By: Date: Approved By: Date: <br /> 212--- <br />
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