7209 6TH AVE W 2025-12-12 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# �� BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: 7;;Q 1 Date: ZA Z Intake Comments: - Intake Comments: Zone 'Z- ❑ Make this a"W"Permit ❑ SRC Required(Pre-Insp) OverlaylAgreement Bldg/T11Addn/Rem Size Nonresidential Use Garage/Accessory Struct.Size - Residential Use 4Ft/ C0n,11-Si-/X Number of Stories Proposed No.of Dwelling Units: Basement ENo ❑Yes, Fin 1 Unfin Total No.of Dwelling Units: Type of Construction V PlanninglLandscape Inspection Required before Final? ❑Yes No Occupancy Group "In Lieu"Fee:Type: Amount$ Occupancy Load School Impact Fee: Total $ Cert.of Occpuancy Required? ❑No 0 es ❑Shell Only Calculated: 0, Credit: Code Year ❑2021 02018 112015 El Everett School Dist ❑Mukilteo School Dist Fire Sprinklers: ❑Update Existing ❑New system ❑Not Req'd Park Impact Fees for permits applied for after 11112022, Reason Sprinklers Required: Park Impact Fee Total$ ' (net due after credit for existing uses) Fire Alarm: ❑Update Existing ❑New System 1TRbt Req'd Fee Schedule Used For Calculation(Year): rG✓IHJ�t�..,_oi1i�'"`"'�y3_.,..,,..,��_,,. Reason Fire Alarm Required: 'y RCW 64.55 MF worksheet req'd for permit? ❑Yes D`No Add'I RCW 64.55 does required prior to final? ❑Yes 11NO Additional Notes: �-p`r''`�cd Pc,{K. SPac�5. Sty �e�Se:1s MvSt VALUATION CALCULATION: Total$ r - Approved By: %- Date: y /y PUBLIC WORKS Intake OK by: Date: Intake Comments: PW Review 8 Worksheet Needed 0Sys Dev Eva[ Additional Notes: ❑Water ❑sewer []Storm ' - t[]Traffic Mitigation Eval Approved$y: Date: USite Work/Drainage(shown/trlggered) ❑Address Letter FIRE DEPARTMENT 17113ackflow Prevention for high hazard: I(dental,medical,animals,mortuary, Separate/Deferred Submittals Required: !hospital,supportive housing) ❑Fire Sprinklers ❑Fire Alarm ❑Other: I Additional Notes: Q This Permit is Approved by Public Works Q See PW Review Worksheet and associated attached items Fire Dept.Fees: Q A Separate PW Permit is Required(Permit#:PW ) Q Review of As-Built Plans-NO FIRE FEE AND ❑ Is fully digital Minimal or No Fire Scope-NO FIRE FEE ❑ Is located in this folder ❑ Review!Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder(loin With this folder for permit issuance) Approved By: Date: ©, Q WIII be issued separately(Separate Green Folder,PW issued ahead of Bldg) Public Works has.no scope on this permit--PW Not Required ELECTRICALlPLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed y: Date: 'i a 3