Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 18 Oct 5.r Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 22-31 q-3 '7- Nonresidential Use <br /> Number of Stories Residential Use VNO`: ' s-QVV\ <br /> y <br /> Occupancy Group Z/(. Proposed No. of Dwelling Units: \o C <br /> Occupant Load Total No. of Dwelling Units: C J \i (-AO- c-S <br /> Basement No K Yes_ Fin / Unfin Landscape or Planning Inspectiop <br /> of Construction needed before final? Yes k No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: � P'S" <br /> Date: tl � o c-4- <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: 0 \ Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No_ <br /> Reason Everett School Dist 'Y\ 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: 1,07/.9-// School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2,01 S f 12C $ LV S4G Comments: C <br /> 1.' a , G�\As r.bv&o-A- 04 `-30f ' <br /> t <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurren Review(separate gre n fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer Date: Z <br /> Water Fee Ig'PW Permit Approved-PW I 4^-1048` <br /> Sewer Fee El 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_ 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: <br />