Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# tgbq © 3 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Sizej / Zoning Classification M - <br /> Garage Size Overlay/Agreement <br /> VALUATION ',,O, OGO Nonresidential Use <br /> Number of Stories / Residential Use <br /> Occupancy Group 5---,/ /c--- <br /> j ( Proposed No. of Dwelling Units:I <br /> Occupant Load 1 Total No. of Dwelling Units: <br /> Basement No '6' Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction it .L needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes 6 No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes '6 No Phone#: <br /> Reason Approved by: IL • ) Date: -7-is--le <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: Date: <br /> -76 <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'I RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: 0Zp,'A -/ School Impact Fee Credit: <br /> Structural Approved By/Date: ---- Total School Impact Fee Owed: <br /> Comments: /i d Occ �`d Jt e 'Na�/ Comments: exaerior c. 'r rPA►�e vas <br /> Yi /2 �f r d�p q1 ;mak" ti' yka-b fri'"'a_ Ama,iwl Pee- re.54,00,,. ii o l <br /> Intake OK by: i3O I8 Intake OK by: k l Ok to route _ `"P+e�i \ <br /> Make this a"W" rmit? Yes No <br /> BLI WORKS <br /> FEES INTAKE: Checked By: Date: • 20 Zit <br /> Plan Check Fee C�o�mments: No l SQ , w • <br /> V' <br /> BuildingPermit FC DgV -1- �'V <br /> 0913/1 dAtpti 1Wz Gv4 <br /> 4-"hal <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check g Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review separate gre n folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: LAg- Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee EPW 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. S <br /> Update/New Chemical Yes No / Existing Bldg. <br /> Update/New Fir Service Yes No Z Existing Bldg. <br /> Approved by:, i.L. it ry Date: r 3-1 <br /> Comments: J Five c.1 c4f-..m/ ,p rK pet-.A", <br /> s4pc,c-c_e_A-P S...b-AA• 0-- I2-i'. <br />