Laserfiche WebLink
12z tc ktas C %& f L( D2`t <br /> C iz t ' 3 * ' -1- t 004 a (c •4 n FOR OFFICE USE ONLY. PERMIT# - t <br /> PLANNING <br /> Bldg/TI/Addn/Rem Size 4- 2-O Zoning Classification s?------5 <br /> Garage Size I.64[7 Overlay/Agreement Lq--Pr <br /> VALUATION t 4.toSi o B 6 Nonresidential Use <br /> Number of Stories Residential Use S D )e6C <br /> Occupancy Group �` .3- 2- Proposed No.of Dwelling Units: 2_ <br /> Occupant Load 2.4- Total No. of Dwelling Units: li <br /> Basement No X( Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction \I— e7 needed before final? ``yy Yes X. No <br /> Existing Sprinkler System? Yes_ No A' Unk Planning Inspector: 111 <br /> Fire Sprinkler Required Yes X No_ Phone#: 42s-j i- "12'S" <br /> Reason R. -ac.-w'c, Approved by: ikl ,d Date: % -'2-q-)$ <br /> Existing Fire Alarm Yes_ No X Unk Historic Approved by: Date: — <br /> Fire Alarm Required Yes k No_ School Mitigation Reqd? Yes X No_ <br /> Reason 340t, 4+1 Everett School Dist c Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes X No_ #of Net New Units: Z <br /> Add'I RCW 64.55 docs required prior to final?Yes X No Calculated School Impact Fee: (0160 <br /> Architectural Approved By/Date: i ' School Impact Fee Credit: <br /> Structural Approved By/Date: ' t �� Total School Impact Fee Owed: (otl(v0 <br /> Comments: I Comments: <br /> Se z ti-ooS <br /> Intake OK by: Intake OK by: `) Ok to route ' Hold. <br /> Make this a"W" Permit? Yes_ No X <br /> PUBLIC WORKS <br /> FEES , INTAKE: Checked By: / y/ Date: /0 2A <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 Pir Public Works Permit-Concurrent Review(separate green folder)Ping Bldg Review Fee PW REVIEW: PW Reviewer: M Date: /) /24,� orY <br /> Water Fee Cgr PW Permit Approved-PW /4-/0- 0 c3 <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee _ FIRE:;DEPARTMENT <br /> School Mitigation Fee Updat /New Sprinklers Yes,,>Q No_ Existing Bldg._ <br /> Update/New Detection Yes_ No, Existing Bldg. <br /> Update/New Chemical Yes_ Nc2)e Existing Bldg.Update/New Fire Service Yes— No___Existing B dg. <br /> Approved by: 4, Date:f%/3 f <br /> C mments: /3� 0fi a-r,P <br />