2007 LEXINGTON AVE 2025-08-21 - Laserfiche WebLink

Intake &Approval Sheet -OR PERMIT STAFF ONLY) :RMIT# v� (d� - ©otf BUILDING PLANNING Intake OK by: Date; Intake OK by: Assign To: Date: ►z Pf t3 Intake Comments: Intake Comments: Zone -Z ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement Bldg/TI/Add em ize Z r J j� ,✓iv✓ Nonresidential Use Garage/Accessory Struct.Size Residential Use Number of Stories Proposed No.of Dwelling Units: r D Basement ❑No KJYes, Fin/Unfin Total No.of Dwelling Units: i Type of Construction Z9C Planning/Landscape Inspection Required before Final? ❑Yes No Occupancy Group Z "In Lieu"Fee:Type: Amount$ Occupancy Load Yf(- School Impact Fee: Total $ Cert. of Occpuancy Required? o INYes ❑Shell Only Calculated: Credit: Code Year 02021 2018 ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: []Update Existing ❑New System Not Req'd Park Impact Fees for permits applied for after 11112022: Reason Sprinklers Required: Park Impact Fee Total$ t (net due after credit for existing uses) Fire Alarm: ❑Update Exsting ❑New System 13Not Req'd Fee Schedule Used For Calculation(Year): --------------- Reason Fire Alarm Required: 8krw� I°�•S3.l l o - Ark """`" "" " __.,_..,_.,..______................. RCW 64.55 MF worksheet req'd for permit? ❑Yes 1�1 No ci wC'll v n A-S - S�r'a'i Add'I RCW 64.55 docs required prior to final? ❑Yes ❑No Additional Notes: VALUATION CALCULATION: Total$ Approved By: Date: 17- ,'y Z3 PUBLIC WORKS Intake OK by: Date: Intake Comments: jPW Review&-Worksheet Needed ik�- ❑Sys Dev Eva[: Additional Notes: P✓T✓a Wet ❑Water ❑Sewer ❑Storm J MCS5 fil/1 3r L t 1OTraffic Mitigation Eva[ Approved By: j Date i0Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT E]Backfiow Prevention for high hazard: 1(dental,medical,animals,mortuary, Separate/Deferred Submittals Required: hospital,supportive housing) ❑Fire Sprinklers ❑Fire Alarm ❑Other: 3 Additional Notes: ❑This Permit is Approved by Public Works ❑ See PW Review Worksheet and associated attached items Fire Dept.Fees: ❑A Separate PW Permit is Required(Permit#:PW ) ❑Review of As-Built Plans-NO FIRE FEE AND ❑ Is fully digital ❑Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder Gain 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 on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: ' Approved By: Date: Completed By: , Date: �� ?j