1111 WETMORE AVE B 2025-08-19 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# . -3it - d BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone K.-2 ❑ Make this a"W"Permit 0 SRC Required(Pre-Insp) Overlay/Agreement Bldg/TI/Addn GAIIMAlb 2-N° * wo 386 Nonresidential Use Garage/Accessory Struct.Size N aiv ' V Residential Use yt s Number of Stories 2 Proposed No.of Dwelling Units: 111 Basement ❑No [Wes, Fin Unfir Total No.of Dwelling Units: 2. Type of Construction .� ...-------- Planning/Landscape Inspection Required before Final? DYes NNo Occupancy Group l e Z= "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ fa Cert.of Occpuancy Required? �I No DYes ❑Shell Only Calculated: Credit: Code Year 02021 42018 02015 DEverett School Dist DMukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System KNot Req'd Park Impact Fees for permits applied for after 1/1/2022: Reason Sprinklers Required: Park Impact Fee Total$ '0 (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System KNot Req'd Fee Schedule Used For Calculation(Year): Reason Fire Alarm Required: G�de w red { e�c•g FvJ i rrw e. RCW 64.55 MF worksheet req'd for permit? DYes IS No Add'I RCW 64.55 does required prior to final? DYes 8No Additional Notes: ,°1lo t ZOPc ci. 'CvC4 2'^d A loci' oRe•ik 04..v`t, VALUATION CALCULATION: Total$ (C)/e)('Co Fefe'^`1C°k°l"""V" eanialignalinal ��,, Approved By: L�,eeht,,4 Date: rip_z rte 5 3L( PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review&Worksheet Needed if: ❑Sys Dev Eval: Additional Notes: ❑Water ❑Sewer ❑Storm I❑Traffic Mitigation Eval Approved By: Date:3//� Z// ❑Site Work/Drainage(shown/triggered) l Address Letter FIRE DEPARTMENT 1DBackflow Prevention for high hazard: Separate IDeferred Submittals Required: (dental,medical,animals,mortuary, Se pq hospital,supportive housing) ❑Fire Sprinklers ❑Fire Alarm ❑Other: Additional Notes: 14 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 JSI Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review/Inspection Scope-ADD FIRE FEE 0 Is in a Separate Green Folder(join with this folder for permit issuance) Approved By:T ,b(Yxw 10 Date: i f—.)y_23 ❑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: �� p, ,� �p� �,n'n Additional Notes: Q,�L AAA C.M OY kr- ' �'Q "'(,�'kt Cm A Au\ . Approved By: Date: Completed By: l ate: 1 ( fr)9j12.02