Laserfiche WebLink
FOR OFFICE USE ON ® PERMIT# t .- <br /> E d x xtiO¢tal.��: D f x ROt`" MIUMx 4 .c; g a <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Coe) Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No— <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No— Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes_ No—Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ 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'l RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved: Date: School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold — <br /> Make this a"W"Permit? Yes No_ <br /> 1K�1111 g 4yh1 1 <br /> S E <br /> 11t-afloINTAKE: 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 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: >e8 Date: 9 15.17 <br /> Water Fee PW Per'it Approve• PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee e <br /> Public Works Fee a�.�,��.�.'�,�.,�..���}�;:...�,.. .. . Od,, ..,..,:. <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 1— Existing Bldg._ <br /> Update/New Fir Service eess No Existing Bldg. <br /> Approved by: 44 L���`-f/ Date: q-le C- <br /> Comments: <br />