9514 7TH AVE SE 2025-09-16 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONL V) PERMIT# 5 Z to?-- BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone c' ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement - Bldg/TI/Addn/Rem Size 2A01 r Nonresidential Use Garage/Accessary Struct.Size t7 Residential Use Number of Stories 2 Proposed No.of Dwelling Units: Basement No ❑Yes, Fin/Unfin Total No.of Dwelling Units: t Type of Construction L PlanningiLandscape Inspection Required before Final? -❑Yes ❑No Occupancy Group "in Lieu"Fee:Type: _ Amount$ ^- Occupancy Load School Impact Fee: Total $ Z Cert.of Occppancy Required? [No— es ❑Shell Only Calculated: Credit: Code Year ❑2021 M2018. ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing❑New System q Not Req'd Park Impact Fees for permits applied for after 1/l/2022: Reason Sprinklers Required: Park Impact Fee Total$ j (net due after credit for existing uses) Fire Alarm: El Update Existing ❑New System Not Req'd Fee Schedule Used For Calculation(Year): 02 0 L Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes IN No Add'I RCW 64.55 does required prior to final? ❑Yes No Additional Notes: l S/�C /r�q VALUATION CALCULATION: Total$ ?27 rp L3 61 Nudsoli" pale M yNg— 'y�OZ 5�n $� 6� j93v Approved By: - �i Dater L/• �/ Co Vd - 14 S F 9 PUBLIC WORKS Building rovutr�1o vt+i�" 'J 4 31"1,34'& Intake OK by:—T-17_ Date: Intake Comments: P_W Review&Worksheet Needed if / I✓" F746 -6( i1Sys Dev Eval: Additional Notes: D I� 'oWater 16Sewer 'AStorm OTrafftc Mitigation Eva[ Approved By: Date: -7�% ite Work/Drainage(shownAriggered) !�FW 3-19f S PAddress Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, Se p q hospital,supportive housing) INFire Sprinklers ❑Fire Alarm ❑Other: 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 Z 1 o3 -D ,7,) ❑rr Review of As-Built Plans-NO FIRE FEE AND El Is fully digital f.Wlnimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(loln with this folderfor 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 ELECTRICALIPLUMBING Additional Notes: Additiona l Notes: y ^ Approved By: Date; Completed By: t Date. Z 7