1102 WETMORE AVE 2025-08-19 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# !91O 'JZ7 IBUILDING _ANNING Intake OK by: e. Date: lb\'L (1.Z_ Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone g...Zi Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use gi-Route to Residential Building Residential Use 5ff- El Make this a"W" Permit Proposed No.of Dwelling Units:Blip!I AA.. ' " - Total No.of Dwelling Units: i arag-—— :. truct.Size U33 14 Planning/Landscape Inspection Required before Final? Yes to ber of Stories rr'�2- "In Lieu"Fee:Type: ount$ Basement ,gNo ❑Yes , Fin/Unfin ' School Impact Fee: Total $ Type of Construction (- Calculated: edit: Occupancy Group '.4 ❑Everett School Dist ❑Muk' eo School Dist Occupancy LoadL Park Impact Fees for permits applies •r after 1/1/2022: Fire Sprinklers: El Update Existing El New System SNot Req'd Park Impact Fee Total$ GG Reason Sprinklers Required: Fee Schedule Used For Calculati• (Year): IP Fire Alarm: ❑Update Existing ❑New System SEENot Req'd Permit Technicians:Apply • edit Per EMC19.53.200 Reason Fire Alarm Required: - ❑ 100%Credit-Issue. 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes Er No 0 50%Credit-Iss •d 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑ p Yes No 0 0%Credit-Is- ed 6/3/2023 or later /L VALUATION CALCULATION: Total $ 9i m® Additional Notes: 42 , Approved By: 4.1 Date: 10,70.2,:7 UBLIC WORKS Additional Notes: Intake OK by:''1('S Date: tO/P12.2 2.. i Intake Comments;,,_ PW Worksheet Needed if: (�pMIn�J� illraira ❑Sys Dev Eval ❑Traffic Mit Eval Approved By: PA a Date: to V144ti-4_ OSite 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 ❑Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred El 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 ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: Date: ❑ Will be issued separately(Separate Green Folder,PW Issued ahead of Bldg) Public Works has no scope---PW Not Required ELECTRICAL/PLUMBING Additional Notes:ivQ seer, #u(L /t,' Ytv14Wti Additional Notes: 0(4 � 7) *rt -A l a �is c (lee �Y/ Approved By: Date: Approved Byr Date: ll igi 9'I(Ada zl2