1612 33RD ST 2025-05-29 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# f j (0 069 BUILDING i •NNING Intake OK by: Date: Intake OK by: Assign To: 3eSSica. Date: 1( b f ZZ Intake Comments: Intake Comme . Zone U 1;4 Overlay/Agreement 1-koro,Siae,Axak.Qr:o Vr ❑ Route to Commercial Building Nonresidential Use �1/A ❑ Route to Residential Building Residential Use Gon3o ❑ Make this a"W" Permit • Proposed No.of Dwelling Units: Bldg/TI/Addn/Rem Size Total No.of Dwelling Units: No charvie Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes �lo Number of Stories "In Lieu"Fee:Type: Amount$ Basement ❑No ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System El Not Req'd Park Impact Fee Total$ Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System El Not Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: - ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ❑ No 0 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes El No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$�� 7'63 8 Z Additional Notes: Approved By: Date: 11 fog IZZ PUBLIC WORKS. Additional Notes: Intake OK by: g Date: I n 13 I OZZ Intake Comments: PW Worksheet Needed if: / ❑Sys Dev Eval ❑Traffic Mit Eval Approved Date: ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: ❑Route this folder for PW Review at end ---PW Review Worksheet El Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ODeferred 0 This Permit is Approved by Public Works Fire Dept.Fees: ❑ See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit#: PW Minimal or No Fire Scope-NO FIRE FEE AND ❑ 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:K., � n Date: 2Z-ekeple ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) 131 Public Works has no scope---PW Not Required ELECTRICAL/PLUMB'ING Additional Notes: l I Additional Notes: L 1t e�� Date: Approved By: Date: Approved By: pp