3301 SEAWAY BLVD TERRA POWER 2025-08-20

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# A 3(! 0 3 e BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone L.12- ❑ Make this a"W"Permit 0 SRC Required(Pre-lnsp) Overlay/Agreement / Bldg/TI/Addn/Rem Size I ) o a Nonresidential Use �jre�ici,/'�a-� Garage/Accessory Struct.Size I Residential Use // Number of Stories Proposed No.of Dwelling Units: Basement IENo ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction i,t 8 Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group '5 , 5. i I p 1 "In Lieu"Fee:Type: Amount$ Occupancy Load lei School Impact Fee: Total $ .- Cert.of Occpuancy Required? ❑No 1Yes ❑Shell Only Calculated: Credit: Code Year 02021 I2018 1:12015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: WUpdate Existing ❑New System El Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: IgUpdate Existing ❑New System ❑Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No Add'I RCW 64.55 does required prior to final? ❑Yes El No Additional Notes: VALUATION CALCULATION: Total 2 01 Otto << � ardt_ I ItZe)/2- ApprovedBy: Date04/o/,9- PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: ❑Water ❑Sewer ❑Storm ]� DTraffic Mitigation Eval Approved By: l., ilfek.m.fioN Date: ,ill, l'.Nk DSite Work/Drainage(shown/triggered) DAddress Letter FIRE DEPARTMENT DBackflow Prevention for high hazard: Se a Required: (dental,medical,animals,mortuary, ' rate/Deferred Submittals 4hospital,supportive housing) Fite Sprinklers Fire Alarm ❑Other: Additional Notes: 0 This Permit is Approved by Public Works 0 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 fully digital ❑ Minimal or No Fire ScopeCCTRIIEFE El Is located in this folder �I Review/Inspection ScopADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: \<,6 l,Jyl Date: V `2 ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: l�/ 1 Approved By: Date: Completed By: �� U jnentiNj Date: t1`at-1_1p2..5