Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT#e., l q0Cp - O H <br /> BUILDING PLANNING <br /> d fI/Addn/Rem Size 2-zf i-o S,/ Zoning Classification IL-7._ <br /> Garage Size Z 3 5-,,rOverlay/Agreement <br /> VALUATION .Z 9 Zt (-90S— Nonresidential Use <br /> Number of Stories Z Residential Use A6^4 51"V-- <br /> Occupancy <br /> f (LOccupancy Group /U Proposed No. of Dwelling Units: 2 <br /> Occupant Load Total No. of Dwelling Units: 1— <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction c � needed before final? Yes t No <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: Y....+ Date: i.0-31---) / <br /> ) <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No )4 <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!RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: <br /> Architectural Approved By/Date: ' 9J /p3 School Impact Fee Credit: <br /> Structural Approved By/Date: `_ Total School Impact Fee Owed: <br /> Comments: .oiC /46. 4_� t4„)._(-, c_ Comments: OCZ 11C°0 i2Q11 <br /> � )1.-°11 <br /> Intake OK by: (`it-' Intake OK by: .Z[W Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: , s-1!` Date: 4:2-5 -1 7 <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 ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee A Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 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: Z—(—)`23 <br /> Comments: <br /> / `- :: <br />