Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# 0 (1 10-0?i) <br /> BUILDING PLANNING 2 <br /> Bld ddn/Rem Size p�! It Zoning Classification R-c /c - <br /> Garage Size "� Z [[[1 Overlay/Agreement _ C-0 <br /> VALUATION 4' 303 , 73-�/` 40 Nonresidential Use <br /> Number of Stories / Residential Use <br /> Occupancy Group / .- ,,,3 1r 5.--A, Proposed No.of Dwelling Units: <br /> • <br /> Occupant Load ItTotal No. of Dwelling Units:r <br /> Basement No IC Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction LI - needed before final? Yes° No_ <br /> -, j 't174; o-g11 <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: J��,J1Hy�,�I�50►/� �j7 <br /> Fire Sprinkler Required Yes I No_ Phone#: <br /> Reason Approved eCi: a e: �r21 2 0 r7 <br /> Existing Fire Alarm Yes-4 No Unk_ Historic Appr ed b : Date: <br /> Fire Alarm Required Yes Y No_ School Mitigation Reqd? Yes_ No <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_ No-- Calculated School Impact Fee: <br /> Architectural Approved By/Date: l`t IDP_ 17 School Impact Fee Credit: <br /> Structural Approved By/Date: ,.f Total School Impact Fee Owed: <br /> Commer�t�: ` c- j aL.�OF Comments: .6P J r1-Ot71 /��,y y.,,., 1"I,oil <br /> y ..5).7x. <br /> ,J . 797/0-- 007X <br /> Intake OK by: �e:49Il1- Intake OK by: 1L Ok to route _ Hold <br /> Make this a"W' Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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 ❑ Public Works Permit-Concurrent Review(separate green folder) <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 iptejajzi c or, q 0 PW Permit Not Required <br /> Traffic Mitigation Fee at 7/, -0 a. <br /> Public Works Fee FIRE bEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg._ <br /> Update/New Detection -Yes_ No_ Existing Bldg._ <br /> Update/New Chemical Yes_ No_ Existing Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> 16 <br /> �-v �cce.ri►- ✓ <br /> 2 , <br />