3620 36TH PL NE 2025-04-23 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# BUILDING / W 111FLANNING Intake OK by: \ I Date: 'Z' qi _T Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agr--ment 0 Route to Commercial Building Nonresidential ► e ❑ Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No. of Dwe 'ng Units: Bld •do/Rem Size 10Jw0 S Total No.of Dwelling U s: Gara, /Accessory Struct.Size Planning/Landscape Ins•-ction Re.,.'red before Final? ❑Yes ❑No Number of Stories 1 — . "In Lieu" Fee: Type: Amount$ - Basement "❑Yes , Fin/Unfin School Impact Fee: Total $ , Type of Construction \f-6 Calculated: Credit: Occupancy Group Everett School Dist /■Mukilt-•, School Dist Occupancy Load \i_s___ Park Impact Fees for •-rmits applied fo -fter 1/1/2022: Fire Sprinklers: ❑Update Existing ONew System Not Req'd Park Impact Fee Total '. (net due a' redit for existing uses) Reason Sprinklers Required: Fee Schedule Used 'or Calculation(Year): Fire Alarm: ❑Update Existing ONew System of Req'd Permit Technici- ' Use Only:Apply Phase-In Credit Per Eh/ICI 9.53.200 - Reason Fire Alarm Required: 0 100%Cr-dit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes El No 0 50% redit Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No 0 0'u Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ Additio'al Notes: Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: PWWo, sheet Needed if: • ❑S s Dev Eval(UtillsVV)[]Traffic Mit Eval Approved By(L V'1 Date: 2—.4,�� P Site Work/Drainage (]Address Letter 0 � •Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate!Deferred Submittals Required: DRoute this folder for P T-view at end ---PW Review Worksheet OFire Sprinklers ❑Fire Alarm ❑Other: OThis project also has a .epar: concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green elder Mu. •'tt:d Previously ODeferred 0 This Permit is Ap roved by Public Works Fire Dept Fees: 0 See PW Revie Worksheet and associated attached items ❑ '_' ew of As-Built Plans-NO FIRE FEE ❑A Separate P Permit is Required(Permit#:PW -1 Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is I• ated in this folder ❑ Is n a Separate Green Folder(join with this folder for permit issuance) El Review/Inspection Scope-ADD FIRE FEE Approved By L V'� Date: Z.4.�„� ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope---PW Not Required EL. ICAL/PLU.MRING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: