1724 100TH ST SW 2025-11-07 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ON0) PERMIT# � � — 33 BUILDING PLANNING Intake OK by: Date: 7/ZeVU Intake OK by: Assign To: Date:09 ' Intake Comments: Intake Comme ts. Some minor corc-eo+iornS will need to '0e made, b%Jk Y%0}"!Yi kVIC - w'kl1 si9�nlfctcan+ly ctl{e,r Wne 6eb;ogtrl,5o re ie-ws �rorn oMner dep�. 0\4, ' o move 6,war-d. ❑ Route to Commercial Building Attach to Project No.REV I Iz-022 ❑ Route to Residential Building ❑ Route to Historic Reviewer P,Vake this a"W"Permit OK to Route to Other Departments I l/Addn/Rem Size ❑ Hold in Planning File Drawer Garage/Accessory Struct.Size Zone Number of Stories Z Overlay/Agreement N/A Basement QNo ❑Yes, Fin/Unfin Nonresidential Use NIA Type of Construction Residential Use SF FR Occupancy Group " Proposed No.of Dwelling Units: (4 Zan to Occupancy Load Total No.of Dwelling Units: (0� Z on Fire Sprinklers: ❑Update Existing ❑New System Not Req'd Planning/Landscape Inspection Required before Final? ❑Yes PNo Reason Sprinklers Required: "In Lieu"Fee:Type: Amount$ Fire Alarm: El Update Existing ❑New System RNot Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: Credit: RCW 64.55 MF worksheet req'd for permit? ❑Yes No ❑Everett School Dist X]Mukilteo School Dist i Z• 00 Addl RCW 64.55 does required prior to final? ❑ ��((Yes x�.INo Additional Notes:NeedS bO'tldinc� CuIr_V10Y%0nS. VALUATION CALCULATION: Total $ � 3 Z027_ Purk �ee,:$2/023. 00 1'- tO*/V X 11 21��7L�X Approved By: Date:Jess�rra r v► m i23 22 C -2-H 7, PUBLIC WORKS Intake OK by: V Date: 1 3o Additional Notes: Intake Comments: PW Worksheet Needed if. Yv-t 22 o'I o Z ❑Sys Dev Eval ❑Traffic Mit Eva[ ❑Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: Approved By: Date: .`L (p/ Z (dental,medical,animals,mortuary,hospital, supportive housing) FIRE DEPARTMENT Dlfkoute this folder for PW Review at end --- PW Review Worksheet Separate/Deferred Submittals Required: This project also has a separate concurrent PW Review (Green Folder) El Fire Sprinklers ❑Fire Alarm ❑Other: AND dCreate Green Folder ❑Submitted Previously ❑Deferred Additional Notes: W This Permit is Approved by Public Works 91 See PW Review Worksheet and associated attached items Fire Dept.Fees: El A Separate PW Permit is Required (Permit#: PW 2I.D1-W f- ) ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder Minimal or No Fire Scope-NO FIRE FEE Is in a Separate Green Folder (Join with this folder for permit Issuance) ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Will be issued separately (separate Green Folder,PW Issued ahead of Bldg) Approved By: yj Date: .l ❑ Public Works has no scope--- PW Not Required Additional Notes: ELECTRICAL/PLUMBING Additional Notes: Approved By: Date: Approved By: �V1Iiw1.�v✓� Date: 034 2,62,7, 7/