9572 7TH AVE SE 2025-09-30 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONL. ) PERMIT 4 37AM3— 075 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Required (Pre-Insp) Overlay/Agreement Bldg1TI/Addn/Rem Size Z u U ` Nonresidential Use _ Garage/Accessory Struct.Size 0 Residential Use Number of Stories Z Proposed No,of Dwelling Units: Basement EINo ❑Yes , Fin/Unfin Total No.of Dwelling Units: Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group "In Lieu"Fee:Type: Amount$ — Occupancy Load School Impact Fee: Total $ / — Cert.of Occpuancy Required? ❑No ❑Yes ❑Shell Only Calculated: %/�/ _ Credit: Code Year 02021 Q201& 112015 ❑Everett School Dist Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑Neer System ❑Not Req'd Park Impact Fees for permits applied for after 11112022: Reason Sprinklers Required: Park Impact Fee Total 5 _ 5', (net due afterm ditforexisling uses) Fire Alarm: El Update Existing El New System ❑Not Req'd Fee Schedule Used For Calculation(Year): G Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? El 'es ❑No Add'I RCW 64.55 dots required prior to final? ❑Yes QN0`7 Additional Notes: VALUATION CALCULATION: Total$ D l� �^cltV) 0yv linJe 20(�1 SF xf1 U1, 333,494 Approved By: Lfarag( +,055F XF��= 25,92� (1Jvr,1(ed perch 24SF PUBLIC WORKS �,$t��l��n� PGv�tWer• }o vc,,��.fir / Slob,9 5� (� Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: 5Ll s 10" Fee 1/br Sys Dev Eva] Additional Notes: %OQI�d l/)a kid nd�S DWater dSewer Elstorm W 1 -ev I ElTraffic Mitigation Eval Approved By: Date: 3D 3`d l 9 ( gg ) �- Site work/Drainage e shovmltri ered ` Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: Separate/Deferred Submittals Required: (dental,medical,animals,mortuary, hospital,supportive housing) ❑Fire 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#l: PW e),q—O ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is fully digital Minimal or No Fire Scope-NO FIRE FEE Q Is located in this folder ❑Review I Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder[join vrith this folder for permit issuance) Approved By. Date: .J�l 3�� ❑ WIII 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: Additional Notes: Approved By: Date: lCompleted By: /_ Date: