Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT#O flX 'i' 6� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size sol-c, S,P Zoning Classification R.-- S <br /> Garage Size 7 3 Z. 5-,P Overlay/Agreement <br /> VALUATION `24 1 4/S Nonresidential Use <br /> 12OccNumber of Stories 1 Residential Use a -O.& SI----f2- <br /> Occupancy <br /> upancy Group 42/ u Proposed No. of Dwelling Units: 1 <br /> Occupant Load Total No. of Dwelling Units: I. <br /> Basement No YYes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction F needed before final? Yes K No_ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: 3 <br /> Fire Sprinkler Required Yes No_ Phone#: iiZs-Zs7 -] s-- <br /> Reason <br /> Reason Approved by: Al1C,S0A Date: -1—"61,1'7 <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 X <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: i <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: $ '7 7....-7 SArchitectural Approved By/Date: `7/8//-.7= School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: ti17.i1 5 <br /> Comments: f.,40`S- ', 1cfrhis-.1, _c. Comments: 55 )C'.0-(-) . <br /> S�0-( <br /> Intake OK by:_k____ Intake OK by: 4- Ok to route _ Hold X. <br /> Make this a"W"Permit? Yes_ No <br /> PUBLIC WORKS <br /> INTAKE: Checked By: ,S Date: 7-Z6 -I 7 <br /> Plan Check Fee - Comments: <br /> Building Permit <br /> / <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 V/ 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> V <br /> Mechanical Fee Public Works Permit-Concurre view(separate green folder) <br /> Ping Bldg Review Fee I - ` W: PW Reviewer: ] Date: <br /> Water Fee r irvki ! °,,,-,„,,sf,ti„`2, *PW P•rmit Approved-PW <br /> Sewer Fee v )j ' Ub-Q 3 7 - "ee PW Review Worksheet <br /> Systems Dev. Fee I/ ❑ PW Permit Not Required i� b 0� <br /> Traffic Mitigation Fee v it (U1 6 'r ?01 <br /> Public Works Fee �1/ <br /> / _. FIRE DEPARTMENT <br /> School Mitigation Fee v 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 /> liii <br />