9502 18TH AVE W UNIT R 2025-08-20

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#?DI 23 VD —024-- BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone (I,e ❑ Make this a "W" Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size a(4 a Nonresidential Use Garage/Accessory Struct. Size GC() Residential Use Number of Stories Proposed No. of Dwelling Units: /9 Basement 111..No ❑Yes , Fin/Unfin Total No. of Dwelling Units: /1 Type of Construction raL Planning/Landscape Inspection Required before Final? IgYes No Occupancy Group "In Lieu" Fee:Type: Amou. 4. Occupancy Load J School Impact Fee: Total $ /i' /(o 1 ) t2-1•d0 Cert. of Occpuancy Required? ❑No IYes ❑Shell Only Calculated: //) fe Cre. : Code Year 02021 2018 02015 ❑Everett School Dist ,I Iukilteo School Dist Fire Sprinklers: ❑Update Existing New System KiNot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ 3//r6 (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System FINot Req'd Fee Schedule Used For Calculation(Year): oZ v Z 3 Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes 133 No Add'I RCW 64.55 docs required prior to final? ❑Yes pNo Additional Notes: VALUATION CALCULATION: Total $ 3411 S Approved By: % �- - Date:/,0 - PUBLIC WORKS Intake OK by: Date: .............................................................................................................................................................. Intake Comments: 1PW PW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: ❑Water ❑Sewer ❑Storm ❑Traffic Mitigation Eval Approved By: r(551.0 Date: 101,31)4 1❑Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT lEIBackflow Prevention for high hazard: /Deferred Submittals Required: (dental,medical,animals,mortuary, Separate hospital,supportive housing) ❑Fire Sprinklers ❑Fire Alarm ❑Other: 1 Additional Notes: .This Permit is Approved by Public Works ErSee PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required (Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is fully digital ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ 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:f > 347 Date:/b 27?, ❑ 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: Approved By: Date: Completed By>i ' 4- Date: to fie.r2ot3