2018 GRAND AVE A B 2025-09-11 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# 3(9-306 --06-3 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use ❑ Make this a"W" Permit Proposed No. of Dwelling Units: Bldg/TI/Addn/Rem Size 72o g F bAvnenf- /fPvl Total No.of Dwelling Units: Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories "In Lieu"Fee:Type: Amount$ Basement ❑No MYes, Fin/Unfin School Impact Fee: Total $ Type of Construction IFL Calculated: Credit: Occupancy Group -Jc L El Everett School Dist ❑Mukilteo ool Di Occupancy Load 'IP_ Park Impact Fees for permits applied for a ter /1/2022: Fire Sprinklers: ❑Update Existing ❑New System RNot Req'd Park Impact Fee Total$ !T u U Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: El Update Existing ❑New System ISNot Req'd Permit Technicians:Apply Credit Per EMC19.53 00 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ❑Yes Sr No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'1 RCW 64.55 dots required prior to final? ❑Yes 13No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 7 Z-,Pv--' Additional Notes: Approved By: Date: ITTZ025 PUBLIC WORKS Additional Notes: Q rb J(,-t SCE. O z4sf Jo4%Z*' Intake OK by: Date: ........._...I.._......_____......___._._._ S GMI.•f to AP A. © le" Intake Comments: lPW Worksheet Needed if. 1/etat�t ' []Sys Dev Eval ❑Traffic Mit Eval Approved By: Date: k ❑Site Work or Drainage Proposed J ❑Backllow Prevention for high hazard: t(dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT ;supportive housing) Separate I Deferred Submittals Required: ❑Route this folder for PW Review at end --PW Review Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: ❑This project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND ❑Create Green Folder [ Submitted Previously ❑Deferred This Permit is Approved by Public Works Fire Dept. Fees: aSee PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit#: PW ) EApp imal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder spection c - ( ❑ Is in a Separate Green Folder[join with this folder for permit issuance) ed By: Date: _3 ❑ Will be issued Separately(Separate Green Folder,PW issued ahead of Bldg) ❑ Public Works has no scope--PW Not Required ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Approved By: Date: /Z ��