10101 7TH AVE SE BLDG 4 2025-11-03

• ,� �,VJII-vu■ viJcca [VL/(-. r-J—_MY/!! .9/f-rj" UfVLY) PERMIT# b�3 D`J'�t" BUILDING "' ANNING Intake OK by: Rafe: 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: Btdgfrl/AddnlRem Size '> _414--- Total No.of Dwelling Units: Garage/Accessory Struct.Size PIanning/Landscape Inspection Required before Final? Dyes El-No Number of Stories "In Lieu"Fee:Type: Amount$ Basement RINo E(Yes, Fin/Unfin School Impact Fee: Total $ Type of Construction Calculated: Credit: Occupancy Group R2 ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load 3 Park Impact Fees for permits applied for after 11112022: Fire Sprinklers: ZUpdate Existing ONew System ❑NotReq'd Park Impact Fee Total$ 1_.� (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): ___ _____ _---------_____..................._------------------------_-------- Fire Alarm: Update E:asting ❑New System ❑Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMC79.63.200 Reason Fire Alarm Required: El100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? t�---rl Yes 1_1 No ❑ 50%Credit-Issued 9/3/202-2-6/2/2023 Add'1 RCW 64.55 dots required priorto final? ❑Yes 91No 07 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ cx::,0 Additional Notes: Approved By: Date: PUBLIC WORKS Additional Notes: bC-c=rr_ Intake OK by: Data: --------------------------;--_------------ Intake Comments: ,PWWorksheetMeededlf. ;QSys Dev EvaI(wilsM QTraffic Mit Eval Approved By: ' Date* =USite Work/Drainage ❑Address Letter LC(Backflow Prevention forhigh hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTIVIMT ' ;supportive housing) • _....._._._............................... Separate I Deferred Submittals Required: ❑Route this folder for PW Review at end --PWRevievtr Worksheet ❑Fire Sprinklers ❑Fire Alarm ❑Other: OThis project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND Create Green Folder ❑Submitted Previously ❑Deferred EJ This Permit is Approved by Public Works Fire Dept.Fees: ❑See PW Review Worksheet and associated attached items Q Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit#: PW ) ❑Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder ❑Review/Inspection Scope-ADD FIRE FEE El Is in a Separate Green Folder ffoin with this tniderfor permit issuance) Approved By. Date: El Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑Public Works has no scope—PW Not Required ELECTRICALIRLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: