2526 WETMORE AVE 2025-12-12 - Laserfiche WebLink

Intake &Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT# b23 04- 014- BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: Zone MU Overlay/Agreement ❑ Route to Commercial Building Nonresidential Use ❑ Route to Residential Building Residential Use {�v ❑ Make this a"W"Permit Proposed No.of Dwelling Units: Bldg/TI/Addn/Rem Size Total No.of Dwelling Units: Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? ❑Yes ❑No r Number of Stories "In Lieu"Fee:Type: Amount$ Basement ❑No ❑Yes, Fin/Unfin School Impact Fee: Total $ Type of Construction vla Calculated: Credit: Occupancy Group 17—L- ❑Everett School Dist ❑Mukilteo School Dist Occupancy Load Park Impact Fees for permits applied for after 111/2022: Fire Sprinklers: ❑Update Existing ❑New System El 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 EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/1/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? Yes ❑ No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? tRYes []No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total$ /Z ZX0, V0 Additional Notes- Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: ..._.... ..._..--_..,...,..,.._.. .................................... Intake Comments: WIN Worksheet Needed if.• t ❑Sys Dev Eval(util/sw)❑Traffic Mit Eva] Approved Bye Date: (OS / 7-6Z ,J Site Work/Drainage ❑Address Letter ❑Backflow Prevention for high hazard: $(dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT (supportive housing) ......................................_...........�_.,_._.........................,....,........................... , Separate/Deferred Submittals Required: [ Route this folder for PW Review at end —PW Review Worksheet El Fire Sprinklers ❑Fire Alarm ❑Other: ❑This 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#: PW ) ❑ Minimal or No Fire Scope-NO FIRE FEE AND ❑ Is located in this folder El Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder Goin with this folderfor 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 ELECTRICAL/PLUMBING Additional Notes: Additional Notes: Approved By: Date: Completed By: Date: