202 ALDER ST 2025-08-25 - Laserfiche WebLink

Intake &Approval Sheet ifOR PERMIT STAFF ONLY) I I PERMIT# 3236 7�-059 BUILDING ULINNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone F., -` _ Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use \teS, ❑ Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No.of Dwelling Units: C Bldg/TI/Addn/Rem Size II 195-f f F Total No.of Dwelling Units: b _ Garage/Accessory Struct.Size NA Planning/Landscape Inspection Required before Final? ❑Yes 14No Number of Stories ( "In Lieu"Fee:Type: Amount$ Basement QNo ❑Yes , Fin/Unfin School Impact Fee: Total $ Type of Construction VO Calculated: Credit: Occupancy Group ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load r1( Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing ❑New System IKINot Req'd Park Impact Fee Total$ 0 Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: ❑Update Existing ❑New System Not Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: D q,ks-E.Rtk ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes ® No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes ®No 0 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ J"34/Xint Additional Notes: CS-4-YrY't- 'F1°'^^ Qc"��' s -Q' .w\ f up 19•9.1l0.B.(o ( ot t/j F)6.-s b C I P. 71 Approved By: [:.:�lil/7i` Date: �'j-/,f=Z PUBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: IPW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval Approved By: C( go , Date: V 1_e "1-7 'Mite Work or Drainage Proposed IDBackflow Prevention for high hazard: l(dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT !supportive housing) Separates/Deferred Submittals Required: ❑Route this folder for PW Review at end ---PW Review Worksheet -- Fi ,.13�rf 1'pttvs'" 1:4.Eire Alarm ❑Other: OThis project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder ❑Submitted Previously ❑Deferred a-This Permit is Approved by Public Works Fire Dept.Fees: i" See PW Review Worksheet and associated attached items ElReview Review of As-Built Plans-NO FIRE FEE Separate PW Permit is Required(Permit#: PW 23c 6-a t 5---) ❑ Minimal or No Fire Scope-NO FIRE FEE AND igis located in this folder P C ft'` "Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) Approved By: K•ti lQ.-A.A-N Date: .0 --3 ,230 Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope--- PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Approved B Date: v 1 to Q 2a,23