Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT#14 n iZ'Oif)3 <br /> BUILDING <br /> ,, 'PLANNING <br /> BIdgITI/Addn/Rem Size 231,1-17+ AO Zoning Classification - S <br /> Garage Size Overlay/Agreement <br /> VALUATION /SOi 10c/° Nonresidential Use <br /> Number of Stories p -7 Residential Use 4J7)tiV <br /> A <br /> Occupancy Group 0-I Proposed No. of Dwelling Units: ---------j ,, � <br /> Occupant Load '� Total No.of Dwelling Units: 4p L <br /> Basement Nom Yes Fin / Unfin Landscape or Planning Inspection I / <br /> Type of Construction U •— FS needed before final? Yes No V <br /> Existing Sprinkler System? Yes_ NoZS Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ Nos25 Phone#: — <br /> Reason Approved by: i1Date: '-i 03 /g <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: ` Date: /� <br /> Fire Alarm Required Yes No 75 School Mitigation Reqd? Yes_ No V <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes A No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date:L4' . 8- L (e. School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 57t _ l Ow J Comments: L ./ld cop n othii� <br /> F., Fei) v io- ins�(Iled poe'v c/v --6) i0J^ <br /> Intake OK by: At,,' ky '�'� �Intake OK by: Ok to route _K Hold _ <br /> Make this a"W' -rmit? Yes_ No <br /> PUBLIC WORKS. <br /> FEES' INTAKE: Checked By: rDate: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green fold r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ,IPW Permit Not Required <br /> r <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE;DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No Existing Bldg. V <br /> Update/New Detection Yes_ No Existing Bldg. <br /> Update/New Chemical Yes_ No /Existing Bldg. <br /> Update/New Fire Service Ye _ No .xisting Bldg. <br /> Approved by: j"O'" (XDate:ib fge,7 <br /> Comments: <br />