2413 CHESTNUT ST 2025-09-10 - Laserfiche WebLink

Intake $ Approval Sheet (FOR PERMIT STAFF ONLr PERMIT#_ 16�365 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 Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size Residential Use Number of Stories Proposed No.of Dwelling Units: Basement No ❑Yes, Fin/Unfin Total No.of Dwelling Units: Type of Construction Planning/Landscape Inspection Required before Final? ❑Yes ❑No Occupancy Group _L "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ 1- Cert.of Occpuancy Required? V1No ❑Yes ❑Shell Only Calculated: Credit: Code Year ❑2021 02018 ❑2015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System RNot Req'd Park Impact Fees for permits applied for after 1/112022: Reason Sprinklers Required: Park Impact Fee Total$ (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System QNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: RCW 64.55 MF worksheet req'd for permit? ❑Yes No Add'I RCW 64.55 docs required prior to final? ❑Yes E]No Additional Notes: VALUATION CALCULATION: Total$ 3 4t,,p Ok- 8 2L LZ Approved By: Date: PUBLIC WORKS Intake OK by: hV Date:_ 0 012,1'lDn Intake Comments: PW Review&Worksheet Needed if: []Sys Dev Eval: Additional Notes: ❑Water []Sewer []Storm ❑Traffic Mitigation Eval Approved By: Date: ❑Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary, Separate/Deferred Submittals Required: 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#: 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 Goin with this folder for permit issuance) Approved By: Date: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) to Public Works has no scope on this permit--- PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: 0111DIUkll Approved By: Date: lCompleted By: 0 Date: