801 75TH ST SE BLDG 7 2025-10-27

Intake $ Approval Sheet (FOR PERMIT STAFF ONL1q PERMIT # �� 3Oq — e00- BUILDING Intake OK by: Date: Intake Comments: ❑ Make this a "W" Permit ❑ SRC Requir d (Pre-Insp) Bldg/TI/Addn/Rem Size W Garage/Accessory Struct. Size — Number of Stories Basement ONo ❑Yes , Fin / Unfin Type of Construction Occupancy Group Occupancy Load Cert. of Occpuancy Required? ❑No MYes []Shell Only Code Year ❑2021 ❑2018 ❑2015 ICA Fire Sprinklers: ❑Update Existing El New System 1QNot Req'd Reason Sprinklers Required: Fire Alarm: []Update Existing [I New System Mot Req'd Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes El No Add'I RCW 64.55 docs required prior to final? ❑Yes IgNo VALUATION CALCULATION: Total $ OeO Additional Notes: Approved By: Date: FIRE DEPARTMENT Separate / Deferred Submittals Required: El Fire Sprinklers El Fire Alarm ❑Other: Additional Notes: Fire Dept. Fees: ❑ Review of As -Built Plans - NO FIRE FEE ❑ Minimal or No Fire Scope - NO FIRE FEE ❑ Review / Inspection Scope - ADD FIRE FEE Approved By: Date: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: PLANNING Intake OK by: Assign To: o Date: b 7i Intake Comments: Zone Overlay/Agreement Nonresidential Use Residential Use V -C Proposed No. of Dwelling Units: -f- i Total No. of Dwelling Units: 101 Planning/Landscape Inspection Required before Final? ❑Yes XNo "In Lieu" Fee: Type: Amount $ School Impact Fee: Total $ I Se. 64. :S-p Calculated: 4 0 Credit: Everett School Dist ❑Mukilteo School Dist Park Impact Fees for permits applied for after 1/112022: Park Impact Fee Totalet due after credit for existing uses) Fee Schedule Used For Calculation (Year): Zo2-3 Additional Notes: Approved By: ,= -Ap,.,4�Date: (0 2 L PUBLIC WORKS Intake OK by: Date: Intake Comments: PIN Review & Worksheet Needed if.- i❑Sys Dev Eval ❑Water ❑Sewer ❑Storm ❑Traffic Mitigation Eval Thite Work/Drainage (shown/triggered) []Address Letter l ❑Backflow Prevention for high hazard: (dental, medical, animals, mortuary, :hospital, supportive housing) i i ❑ This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items ❑ A Separate PW Permit is Required (Permit #: PW ) AND ❑ Is fully digital ❑ Is located in this folder ❑ Is in a Separate Green Folder (join with this folder for permit issuance) ❑ Will be Issued separately (separate Green Folder, PW issued ahead of Bldg) LLA Public Works has no scope on this permit --- PW Not Required Additional Notes: Completed B Date: