708 91ST PL SE 2025-08-20 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# (O —Oil BUILDING _ANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone 12--1 Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use _ ❑ Route to Residential Building Residential Use ❑ Make this a"W" Permit • Proposed No. of Dwelling Units: Bldg/TI/Addy m Size) (641 SF/Lot -LJR-- 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 nYes Fi /Unfin School Impact Fee: Total $ Type of Construction 3CLC., 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 Chew System 'lot Req'd Park Impact Fee Total$ Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ONew System '1Not Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: • 0 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes Ea No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add!RCW 64.55 docs required prior to final? DYes J No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 6b/004:5 Additional Notes: Approved By:itte R f jy 7 A Date: I I/) t-I 2 Z PUBLIC WORKS , Additional Notes: {-t ��Zj�2S/oJ.� Intake OK by: 6 Date:\ [DUI t l 2IZ__ c=0,331—Yi )34t> Intake Comments: LO JIY- ca PF.Rl�i•VEr 0�y PW Worksheet Needed if: pPFCL C_ae L ❑Sys Dev Eval ❑Traffic Mit Eval Approved By: 'Q N Date: 1142073 ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate 1 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 ❑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 ❑ 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) Public Works has no scope---PW Not Required , ELECTRICAL/PLUMBING Additional Notes: Additional Notes: 4 /11/1 � ` • M• 1'071v Approved By: Date: Approved By: Date: