3527 SHORE AVE 2025-04-17 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 1 2)0 7-006 BUILDING ill l..ANNiNG 12Q,j/5ScQAJ E-- intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: intake Comments: Zone Overlay/Agreement 0 Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No.of Dwelling Units: Bid I/Addn/Rem Size ( ZS Total No.of Dwelling Units: Gara ccessory Struct.Size 73S® iiS Planning/Landscape inspection Required before Final? DYes ❑No Number of Stories 2- "in Lieu"Fee:Type: Amount$ Basement No DYes, Fin/Unfin School Impact Fee: Total $ ^Q/.4— Type of Construction .:1. 0- — Calculated: Credit: Occupancy Group TILL- ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load -. - Park Impact Fees for permits applied for after'U1/2022: Fire Sprinklers: DUpdate Existing ❑New System Riot Req'd Park Impact Fee Total$ i i 0(PO (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System 1=Not Req'd Permit Technician Use Only:Apply Phase-in Credit Per EMC19.53.200 Reason Fire Alarm Required: El 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? DYes Figr No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'l RCW 64.55 dots required prior to final? DYes El-No El 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total itac..948 SC)—_' Additional Notes: 621 tF LidtiaV c. C&.4t/66/s ' . `/O 3, Aso' /� / gS© sr 6I4 A( 461%4' . = .11 '61 Ioc' Approved By: Date: 1/2e2i* agl6.11JAL FEES. w6R.e &is ID o-FF #1 isbbc Y bt Ke = 98Sc;" PUBLIC WORKS Additional Notes: FEE 7-1.1 l S evi Intake OK by: Date: 6 31 k,41 I I u z3 F r"Ei2 4 ysuep ©FF Intake Comments: PW Worksheet Needed if: $9$S� ❑Sys Dev Eval(UtiI/SW)OTraffic Mit Eval Approved By: Date: ❑Site Work/Drainage Address Letter pp � .}./!0 `2�- ❑BackflowPrevention 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: OThis project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred 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 0 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: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) bljc 1.ke-ht.Vo Sc ---PW 1\10t liztiryjr"\ ELN~CTRICAL!RLUMBING Additional Notes: Additional Notes: C6194 111 1) l/t/I tiA autm�, er PO . Approved By: Date: Completed By: i��1,titit ,�rywr,.. Date:__�U6?y 11-11202A