10101 7TH AVE SE BLDG 11 2025-12-12

illLunc acH.NNlv'Val 3rjuu-c (rLJ C 1_ZtVV111 'ZiIAl_k; ONLY) PERMIT# BUILDING "' ANNING 6- 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: BIdgfTl1Addn1Rem Size :y }f Total No.of Dwelling Units: Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No Number of Stories `?11 "In Lieu"Fee:Type: Amount$ Basement QNo [Yes, Fin/Unfin School Impact Fee: Total $ Type of Construction \/4k Calculated: Credit: Occupancy Group f ❑Everett School Dist ❑Mukiiteo School Dist Occupancy Load Park Impact Fees for permits applied for after 11112022: Fire Sprinklers:ElUpdate Existing❑New System ❑Not Req'd Park Impact Fee Total$ i (net due after credit for existing uses) Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): j-( ------------------ ------------------------- ------------------------ - Fire Alarm: Update Existing ❑New System LINot Req'd Permit Technician- - Use Only:Apply Phase-In Credit Per EMC19.53.200-------- Reason Fire Alarm Required: ER Yes Credit-Issued 1/1/2022-9/2/2022 ER RCW 64.55 MF worksheet req'd for permit? Y es ❑ No ❑ 50%Credit-Issued 013/2022-6/2/2023 Add'1 RCW 64.55 docs required priorto final? DYes XINo ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ 2 Additional Notes- Approved By: Date. PUBLIC WORKS Additional Notes: D-<—vr- Intake OK by: Date: .------------------------;;--------------- Intake Comments: ;PW Warksheet Meeded if, E1Sys Dev EvaI(MISM QTraffic Mit Eval Approved By: Date: < <> %' = 'ElSite Work/Drainage ElAddress Letter -E113ackflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE 1]EPARTMENT ;supportive housing) Separate I Deferred Submittals Required: ❑Route this folder for PW Review at end --PWReview Worksheets ^�- ❑Fire Sprinklers ❑Fire Alarm DOther: LIThis project also has a separate concurrent PW Review(Green Folder) Additional Notes: AND LlCreate Green Folder [ Submitted Previously ❑Deferred ❑This Permit is Approved by Public Works Fire Dept Fees: ❑See PW Review Worksheet and associated attached items rl 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 ❑ Is in a Separate Green Folder Qoinwith this folder for permit issuance) Approved By: Date: ❑Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works has no scope—PW Not Required ELEMICALJP_LUMBING Additional Notes: Additional Notes: Approved By: Date: Completed)3y: Date: