Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# I 7010 --0 <br /> BUILDING ' PLANNING <br /> Bldg/TI/Addn/Rem Size /957 . Zoning Classification <br /> Garage Size S/�, / Overlay/Agreement <br /> VALUATION �-�!`� 273 Nonresidential Use <br /> Number of Stories 1. Residential Use <br /> Occupancy Group � � Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No'X Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Constructionneeded before final? Yes . No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: Si/1,A cJ I f,415 <br /> Fire Sprinkler Required Yes_ No Phone#: .5 c� '7 3 <br /> Reason Approved by: e: 1 t ( 1 <br /> Existing Fire Alarm Yes No_Unk Historic Approves by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No_ <br /> Reason Everett School Dist 5Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add!RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: icitfr 6/&//75 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z0/5— �� mss" C. Comments: <br /> Intake OK by: Intake OK � Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked y / CDate: 6 /Z <br /> / <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 El 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: Date: 7 //--/ 7 <br /> Water Fee PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIREDEPARTMENT,• , _: <br /> School Mitigation Fee Update/New Sprinklers Yes_ No 7. Existing Bldg._ <br /> Update/New Detection Yes_ No / Existing Bldg._ <br /> Update/New Chemical Yes_ No 7 Existing Bldg._ <br /> Update/New Fire Service Yes_ No/ Existing Bldg._ <br /> Approved by: (c Date: 1 <br /> Comments: <br />