10733 20TH PL W 2026-05-06 - Laserfiche WebLink

o//,,',, Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#_ 2�3 (1/- 073 BUILDING PLANNING Intake OK by: Date: Intake OK by: Assign To: Date: Intake Comments: Intake Comments: TZ�v 102- 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: Bldg/TI/Addn/Rem Size Total No. of Dwelling Units: Garage/Accessory Struct.Size Planning/Landscape Inspection Required before Final? []Yes ❑No Number of Stories "In Lieu"Fee:Type: Amount$ Basement No ❑Yes, Fin/Unfin School Impact Fee: Total $ Type of Construction (Ll. Calculated: Credit: Occupancy Group L El Everett School Dist ❑Mukilteo School Dist Occupancy Load T-R.0 Park Impact Fees for permits applied for after 1/1/2022: Fire Sprinklers: ❑Update Existing []New System Park Impact Fee Total$ �Not Req'd p Reason Sprinklers Required: Fee Schedule Used For Calculation(Year): Fire Alarm: El Update Existing El New System Not Req'd Permit Technicians:Apply Credit Per EMC19.53.200 Reason Fire Alarm Required: ❑ 100%Credit-Issued 1/l/2022-9/2/2022 RCW 64.55 MF worksheet req'd for permit? []Yes 91 No ❑ 50%Credit-Issued 9/3/2022-6/2/2023 Add'I RCW 64.55 docs required prior to final? ❑Yes 93No ❑ 0%Credit-Issued 6/3/2023 or later VALUATION CALCULATION: Total $ d,09a Additional N tes: ]�Z Approved By: Date: PUBLIC WORKS Additional Notes: Intake OK by: Date: _ Intake Comments: PW Worksheet Needed if., ❑Sys Dev Eval ❑Traffic Mit Eval Approved By: Date: ZIYI []Site Work or Drainage Proposed ❑Backflow Prevention for high hazard: (dental,medical,animals,mortuary,hospital, FIRE DEPARTMENT supportive housing) Separate/Deferred Submittals Required: El Route this folder for PW Review at end ---PW Review Worksheet El Fire Sprinklers El 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 ❑ Review/Inspection Scope-ADD FIRE FEE ❑ Is in a Separate Green Folder Qoln%vith 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 ELECTRICAL/PLUMBING lAdditional Notes: Additional Notes: Approved By: Date: JApproved By: Date: