4715 FOWLER AVE 2025-09-11 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 3 0 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: TM Date: � g Intake Comments: Intake Comments: Zone ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) Overlay/Agreement Bldg/TI/Addn/Rem Size 2 2.70� "� Q /le4,J Nonresidential Use Garage/Accessory Struct. Size Residential Use (S Number of Stories Z Proposed No.of Dwelling Units: D Basement ❑No Yes, /Unfin Total No.of Dwelling Units: ` Type of Construction 71P_L Planning/Landscape Inspection Required before Final? ❑Yes j4NO Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ Cert. of Occpuancy Required? No ❑Yes []Shelf Only Calculated: Credit: Code Year ❑2021 132018 02015 ❑Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New System qNot 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 SNot Req'd Fee Schedule Used For Cal ulation(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 No Additional Notes: /Vo ex{ti,o�5��, no cnKry� ,n v e VALUATION CALCULATION: Total$ 0 Approved By: Date: /p /g Z PUBLIC WORKS Intake OK by: Date: _ Intake Comments: PW Review&Worksheet Needed if.-_ ❑Sys Dev Eval Additional Notes: rlsw��►t'��"^Q?91 60C1C ft6t ( ❑Water ❑Sewer ❑Storm bp, (-h ! 1❑Traffic Mitigation Eval Approved By: t Date: '( L []Site Work/Drainage(shown/triggered) (❑Address Letter FIRE DEPARTMENT I❑Backflow Prevention for high hazard: ISeparate/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#: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 Qoin with this folderfor permit issuance) Approved By: Date: ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) VjPublic Works has no scope on this permit---PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes Iq6z�3 Approved By: Date: Completed By: Date: