10101 7TH AVE SE BLDG 10 2025-12-12

IntaKe&Approval Sheet (rutst-Y;=MWJ I S!A17P ®NL.Y) PERMIT 77 BUILDING r- IkNNING Lb i✓ to Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone Overlay/Agreement El Routeto Commercial Building Nonresidential Use El Route to Residential Building Residential Use ❑ Make this a"W"Permit Proposed No.of Dwelling Units: BId91TI1Addn1Rem Size 2--CO Total No.of Dwelling Units: Garage/Accessory Struct.Size — PIanninglLandscape Inspection Required before Final? ❑Yes []No Number of Stories =� "In Lieu"Fee:Type: Amount$ Basement PgNo ❑Yes, Fin I Unftn School Impact Fee: Total $ i Type of Construction Calculated: Credit: Occupancy Group K;2— ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 11112022: Fire Sprinklers: Update E)ssting[]New System []Not Req'd Park Impact Fee Total$ (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): -- ----------------------------------------- ,._.- ................... Fire Alarm: Update Existing ❑New System ❑Not Req'd Permit Technician Use Only:Apply Phase-In Credit Per EMG19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? ElYes ❑No ❑ 50%Credit-Issued 9/3/2022-6/212023 Add'1 RCW 64.55 docs required priorto final? QYes 9No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ Z5 Additional Notes: �pm a t4, -a a Approved By: Date: I'uBLIC WORKS Additional Notes: Intake OK by: Date: Intake Comments: ;PWWorksheetNeededff []Sys Dev Eval(UUIISW)[]Traffic Mit Eval Approved By: c�F_3 Date: 5 '[]Site Work/Drainage []Address Letter ElBackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT ;supportive housing) _----------------------------------------- Separate 1 Deferred Submittals Required: DRoute this folder for PW Review at end —PW Review Worksheet []Fire Sprinklers ❑Fire Alarm DOther: OThis 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: ❑See PW Review Worksheet and associated attached items ❑ Review of As-Built Plans-NO FIRE FEE ❑A Separate PW Permit is Required(Permit#1::PW ) ❑Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder 11 Revfewl Inspection Scope-ADD FIRE FEE CI Is in a Separate Green Folder goin with this folderfor permitissuance) Approved By: Date: Q Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) ❑Public Works has no scope—PW Not Required ELIECTRICA,LIRLUMBING Additional Notes: [Approved dditional Notes: By: Date: Completed By: Date: