1201 EVERETT AVE 2025-09-09 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY rERMIT# y2.3�2 -CO BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: T)7 Date: S Sar. 201.4 Intake Comments: Intake Comments: Zone V IZ ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement Moro Bldg/TI/Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size Residential Use M Number of Stories Proposed No.of Dwelling Units: '1 Basement ©No ❑Yes, Fin/Unfin Total No. of Dwelling Units: '7 Type of Construction J a Planning/Landscape Inspection Required before Final? ❑Yes 6KNo Occupancy Group {L "In Lieu"Fee:Type: Amount Occupancy Load School Impact Fee: Total $ N 1A Cent.of Occpuancy Required? MNo ❑Yes ❑Shell Only Calculated: Credit: Code Year 1:12021 Q2018 1:12015 El Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: El Update Existing El New System ©Not Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ N 1^ (net due after credit for existing uses) Fire Alarm: El Update Existing El 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 0No Additional Notes: VALUATION CALCULATION: Total$ 700 Approved By: W. Date: $ wh U24 PUBLIC WORKS Intake OK by: Date: Intake Comments: PWReview&Worksheet Needed if. El Sys Dev Eva[ Additional Notes: I ❑Water ❑Sewer ❑Storm ❑Traffic Mitigation Eval Approved By: C4 Date: ' M I❑Site Work/Drainage(shown/triggered) ❑Address Letter FIRE DEPARTMENT i(dental, OBackflow Prevention for high hazard: medical,animals,mortuary, Separate/Deferred Submittals Required: 1hospital,supportive housing) ❑FireSprinklers ❑Other: p ❑Fire Alarm 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 Coin with this folderfor permit issuance) Approved By: Date: ❑ WIII 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: