3527 SHORE AVE 2025-04-17 - Laserfiche WebLink

Intake & Approval Sheet •(FOR PERMIT STAFF ONLY) • PERMIT# g Vi O1 - 06� BUILDING PLANNING ,,yy�� n� a Intake OK by:fi'�'d`— Date: 7�Z/G?t:��L Intake OK by: 4 Assign To: l i` Date: 31/Z`, ,/,'s_ Intake Comments: Intake Comments: ❑ Route to Commercial Building 0 Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W" Permit to Route to Other Departments Bid /TI/Ad em ❑ Hold in Planning File Drawer arag Accessory Struct. Size (e2_t $SZ%Sf /y25 Zone Number of Stories Z Overlay/Agreement Basement glNo Dyes , Fin/Unfin Nonresidential Use Type of Construction C. Residential Use -- Occupancy Group SAO( Proposed No.of Dwelling Units: Occupancy Load ai - Total No. of Dwelling Units: Fire Sprinklers: El Update Existing ❑New System ,-YNot Req'd Planning/Landscape Inspection Required before Final? ❑Yes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: El Update Existing ❑New System pNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? DYes P No DEverett School Dist DMukilteo School Dist�� J J Add!RCW 64.55 docs required prior to final? ❑ °Yes INo Additional Notes: 1-1 _-�"v -,Cti \� r ii Mal- VALUATION CALCULATION: Total $ /ZjCJ�69U� CJ StiNel 1 GqV+ ` t'il &f/- ii(/C,, PL /4pPIt(.111 oN Approved By: of Date: I I 'ZZ/70Z,2_ PUBLIC WORKS Intake OK by: 19 Date: 1 Q02.671Z Additional Notes: Intake Comments: IPW Worksheet Needed if:: ,,�,, l A, > s}pr►v1 1ckW �+�C�= 18y1s1nnDev Eval LJTraffic Mit Eval pw t,�)�rvritb�-a-�" (❑S_.it�Work or Drainage Proposed Approved By: <�L- Date: gl Zr2o1,Z •6 JQ ,"" ❑eack low Prevention for high hazard: • y, E(dental,medical,animals,mortuary,hospital, 'J t O 15Yb5 It :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) ❑Fire Sprinklers ❑Fire Alarm ❑Other: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: This Permit is Approved by Public Works gl See PW Review Worksheet and associated attached items Fire Dept. Fees: 0 A Separate PW Permit is Required (Permit#: PW ) ❑ Review of As-Built Plans-NO FIRE FEE AND 0 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) 0 Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately (Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: Approved By:� Date: 1\,pSIY