9911 23RD AVE SE 2021-12-15 - Laserfiche WebLink

FOR OFFICE USE ONLY PERMIT # dJ I ld 043 BUILDING( Bldg/TI/ /Rem Size { d Garage Si VALUATION SQQ '�YONi Number of Stories Occupancy Group ` Z Occupant Load Basement No Yes _ Fin / Unfin Type of Construction V Existing Sprinkler System? Yes _ No Unk_ Fire Sprinkler Required Yes No L( Reason tyt0ty Existing Fire Alarm Yes No Y, Unk Fire: Alarm Required Yes _ No K Reason L %(Sj (tits RCW 64.55 MF worksheet req'd for permit? Yes _ No Add"1 RCW 64.55 docs required prior to final? Yes _ No _ Architectural Approved: ji��b �[r(l, te: S/11 1� Structural Approved: Date: l Comments: Intake OK by: Date: FEES Plan Check Fee Bui 6ng Permit Additional Plan Check Plumbing Fee Mechanical Fee Ping Bldg Review Fee Water Fee Sewer Fee Systems Dev. Fee Traffic Mitigation Fee Public Works Fee School Mitigation Fee PLANNING Zoning Classification Overlay/Agreement Nonresidential Use `` __'__"'—' 4ser i�- \N Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Landscape or Planning Inspection needed before final? Yes No Planning Inspector: Phone #: Approv d by: Date: 2 ' ',Historic Approved by: '^" Date: School Mitigation Reqd? Yes No l Everett School Dist Mukilteo School Dist # of Net New Units: --- Calculated School Impact Fee: School Impact Fee Credit: "—"" Total School Impact Fee Owed: Coom,,ments, ]n/ L� Intake OK by:_C�`� T PUBLIC WORKS NTAKE: Checked By: A'B Date: High Hazard Sites (Dental, Medical, Animals, Mortuary, etc -Review for RPBA) ❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED ❑ Route for Public Works Review (bldg folder, PW Worksheet) 'ublic Works Permit -Concurrent Review (separate green folder) PW REVIEW: PW Reviewer: AS Date: 5=2lo—/ 7 ❑ PW Permit Approved PW ❑ See PW Review Worksheet PW Permit Not Required FIRE DEPARTMENT Update/New Sprinklers Yes No Existing Bldg._ Update/ New Detection Yes No Existing Bldg. _ Update/ New Chemical Yes No Existing Bldg. Update/ New Fire Service Yes No Existing Bldg. _ Approved by: Date: Comments: