Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT#C___k (1,p —037 <br /> BUILDING <br /> Bldg/Tl •:.-/Rem Size 147 ' s/ Zoning Classification Q. <br /> c <br /> Garage Size Overlay/Agreement ,„--, <br /> VALUATION I C,1 i 614E3 Nonresidential Use (� <br /> Number of Stories `- Residential Use \\ <br /> Occupancy Group IK-. Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Y Yes_ Fin / Unfin Landscape or.Planning Inspection <br /> Type of Construction y► 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:C—_--- . Date: ‘...7cD fLZ!ic2- <br /> Existing <br /> Fire Alarm Yes_ No—Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No X <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: 5 l / -7/2‘...//--7- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: ZO/,s- //LL It Lt/S-‘C Comments: - <br /> Intake OK by:(dC NOT ,t ►VS Intake OK by:'..., C Ok to routex Hold _ <br /> Make this a"W" Permit? Yes No <br /> P BLIC WORKS <br /> FEES INTAKE. Checked By: Date:_ <br /> Plan Check Fee CC,oQ�mments: l'//�SF pu ilfrO 1 —bozo-nSpi-th fo sp/Aglioar <br /> Building Permit ,1 PLO .071,C/Vtdvb Orr <br /> 0 ea-4d <br /> 7deAS <br /> Surcharge High Hazard (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 1 sr Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Wthks Permit-Concurrent eview(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: -i---.6-9)151' <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee El See PW Review Worksheet <br /> Systems Dev. Fee Igi PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <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: ,i '‘ <br />