Laserfiche WebLink
G�In® 61� iav <br />FOR OFFICE USE ONLY PERMIT # C'® <br />BU#LDING <br />PLANNING. <br />BldgrFl/Addn/Rem Size <br />Zoning Classification <br />`2 (2 —3 <br />Garage Size <br />Overlay/Agreement <br />11 <br />VALUATION <br />Nonresidential Use <br />il <br />Number of Stories <br />Residential Use <br />Occupancy Group <br />Proposed No. of Dwelling Units: <br />Occupant Load <br />Total No. of Dwelling Units: <br />Basement <br />No _ Yes _ Fin / Unfin <br />Landscape or Planning Inspection <br />needed before final? Yes ajgNo v/ <br />Type of Construction <br />Existing Sprinkler System? <br />Yes No Unk <br />Planning Inspector: <br />Fire Sprinkler Required <br />Yes No <br />Phone #: <br />Reason <br />Approved byqL4 Date: 2 / <br />Existing Fire Alarm <br />Yes No Unk <br />Historic Approved by: Date: <br />Fire Alarm Required <br />Yes No <br />School Mitigation Reqd? Yes _ No <br />Reason <br />I <br />Everett School Dist Muki chool Dist <br />RCW 64.55 MF worksheet req'd for permit? Yes No <br /># of Net New Units: <br />Add'I RCW 64.55 docs required prior to final? Yes No <br />Calculated Sch Impact Fee: <br />Architectural Approved By/Date: <br />School I -act Fee Credit: <br />Structural Approved By/Date: <br />Total School Impact Fee Owed: <br />Comments: <br />Intake OK by: <br />Comments: I n04�-- <br />COIT V �01 j <br />Intake OK by:UA- Ok to route Hold <br />Make this a "W" Permit? Yes No <br />;PUBLIC WORKS, <br />FEES: „: <br />INTAKE: Checked By: Date: <br />Comments: <br />High Hazard Sites (Dental/Medical, Animals, Mortuary, etc -Review for RPBA) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />❑ Route for Public Works Review (bldg folder, PW Worksheet) <br />❑ Public Works Permit -Concurrent Review (separate green folder) <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />PW REVIEW: PW Reviewer: Date: <br />❑ PW Permit Approved - PW <br />❑ See PW Review Worksheet <br />❑ PW Permit Not Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee' <br />PIREDEPART,MEtT <br />; _ , <br />School Mitigation Fee <br />Update/New Sprinklers <br />Yes No Existing Bldg._ <br />Update/ New Detection -Yes <br />No Existing Bldg. _ <br />Update/ New Chemical <br />Yes No Existing Bldg. _ <br />Update/ New Fire Service <br />Yes No Existing Bldg. _ <br />Approved by: Date: <br />Comments: <br />