747 75TH ST SE THE LAKESIDE 2025-04-23

Intake & Approval Sheet ,"(FOR PERMIT STAFF ONLY) •PERMIT# I r 3 ID —0t, l BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: 1.NA Date: lb10 123 Intake Comments: Intake Comments: Zone O' 3 ❑ Make this a"W" Permit 0 SRC Required (Pre-lnsp) 1 Overlay/Agreement Bldg/TI/Addn/Rem Size Z.X/5—/-7 4 - Nonresidential Use , Garage/Accessory Struct. Size Residential Use I25 Number of Stories 47 r'/ Proposed No. of Dwelling Units: 40 Basement ❑No ❑Yes , Fin/Unfin Total No.of Dwelling Units: Type of Construction 776 7 — '/— /(, Planning/Landscape Inspection Required before Final? ❑Yes 'No Occupancy Group 2-a "In Lieu" Fee:Type: Amount$ Occupancy Load 14/,ft School Impact Fee: Total $ QS Cert. of Occpuancy Required? INNo ❑Yes ❑Shell Only Calculated: / Credit: Code Year 02021 1Z12018 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing El New System Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ 16 (net due after credit for existing uses) Fire Alarm: ❑Update Existing 0New System El Not Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: ,Z C /(O j, 7, 6 RCW 64.55 MF worksheet req'd for permit? AJYes ❑ No Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: NO exci.t S tt% b4--400-d ex-, J VALUATION CALCULATION: Total $ 3-0 000 Approved By: V7 ," Date: 1081 PUBLIC WORKS / Intake OK by: Date: 0 I 001 I 2,61.A_ Intake Comments: 1PWReview&Worksheet Needed if: / 1❑Sys Dev Eval: Additional Notes: �,Troi ` Q /C'r t ❑Water ❑Sewer ❑Storm 1❑Traffic Mitigation Eval Approved By: , STD - Date: -/ /fir, a' I❑Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT 10Backflow Prevention for high hazard: Separate/Deferred Su mittals Required: hospital, up'portivelmals housing) wary, ❑Fire Sprinklers ire 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 ❑ Is fully digital 0 Minimal or No Fire Scope-NO FIRE FEE 0 Is located in this folder Review/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) 'Approved By: � ,(--0(./f/,(-\ Date: 1,6 .L —23 ❑ 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:t ,6 _I Date: L0 /t l 1702.3