Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# (S05-0141 <br /> BUILDING PLANNING <br /> BldO � ' £-1 M AQ <br /> /TI/Addn/Rem Size Z6 6 Zoning Classification <br /> Garage Size Overlay/Agreement __ <br /> VALUATION .TS-0 's ,G 5 3(1.01F4- Nonresidential Use Ces _ [Z3vc 4- <br /> Number of Stories/ efrti+ e c.Q,�,.` <br /> Occupancy Group .iY Z- Proposed No. of Dwelling Units: <br /> Occupant Load S` Total No. of Dwelling Units: <br /> Basement No( Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No 1� <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved b . Date: S k S• Zc3\q <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'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Datk ) \ School Impact Fee Credit: <br /> Structural Approved By/Date:' _ )4CV/7244V 9 Total School Impact Fee Owed: <br /> Comments: Comme ts: <br /> p t• id :"t % ''t'T r:rn tip �1,\ <br /> , :\ (�I`rOS OLO <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> PyBLIC WORKS <br /> FEES INTAKE: Checked By: ,f,�"� _ Date: 5--� <br /> Plan Check Fee Comments: Attic_ e ,/� on,� pniexj-A_ <br /> Building Permit flu too—ksh'c„- /'Q '/ Cwv51• igt <br /> Surcharge High Hazard Siteses(Dental/Medical,Animals,(,(alM rtuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee IS Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:ciee Date: -Vz'.s/!4 <br /> Water Fee L PW Permit Approved- PW L SOS Ot$ <br /> Sewer Fee See PW Review Worksheet <br /> Systems Dev. Fee 0 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 2( No Existing Bldg. <br /> Update/New Chemical Yes k(• No_ Existing Bldg. <br /> Update/New Fire Service Yes )( No_ Existing Bldg. <br /> Approved by: . V Date: I 3 -1 <br /> Comments: JG Ly <br /> lL <br />