620 LAUREL DR 2025-04-16 - Laserfiche WebLink

Intake & Approval Sheet Aik (FOR PERMIT STAFF ONLY) PERMIT# 6 1-30 ) --0 41, BUILDING • �LANNING 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 Cj ❑ Make this a"W"Permit Proposed No. of Dwelling Units: BId I11/Addn/Rem Size Total No.of Dwelling Units: Garag Accessory Struct.Size '2.S GP Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories 02 " "In Lieu"Fee: Type: Amount$ Basement ❑No EYes , Fin 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 RNot 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 ErNot Req'd Permit Technician Use Only:Apply Phase-In 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 El'No 0 50%Credit-Issued 9/3/2022-6/2/2023 Addl RCW 64.55 docs required prior to final? ❑Yes ' No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ qo ooct, Additional Notes: ,\ n�QQ2117 pproved B : Date: • PUBLIC WORKS Additional Notes: �y� Intake OK by: Date: y /1 1 tosgE n' e-EUtU( � Intake Comments: PW Worksheet Needed if: f`� ❑Sys Dev Eval(UtiI/SW)[]Traffic Mit Eval Approved By: Date: ❑Site Work/Drainage ❑Address Letter pp �Q� 4 13 ❑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 ❑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 El in a Separate Green Folder(join with this folder for permit issuance) El Review/Inspection Scope-ADD FIRE FEE Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) r!%-'ublic Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed Date: 2M fzJ4i