2715 EVERETT AVE VERIZON ANTENNA 2022-02-02

FOR OFFICE USE ONLY PERMIT # � (o 12)- WZ BUILDING Bldg/TI/Addn/Rem Size Garage Size VALUATION Number of Stories Occupancy Group Occupant Load Basement No Yes Fin / Unfin Type of Construction Existing Sprinkler System? Yes No Unk Fire Sprinkler Required Yes No Reason Existing Fire Alarm Yes No Unk Fire Alarm Required Yes No Reason Enclosure Law Applies lYes Deferred Submit I Req'd I Yes No Approved by: Date: Comments: Intake OK by: FEES IPlan Check Fee I I Building Permit Surcharge Additional Plan Check Plumbing Fee Mechanical Fee Plnq Bldq Review Fee Water Fee Sewer Fee Systems Dev. Fee Traffic Mitigation Fee Public Works Fee (School Mitigation Fee PLANNING Zoning Classification u Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: �— Landscape or Planning Inspection needed before final? Yes X _ ,No Planning Inspector: tt Phone #: Approved by: A Date: Historic Approved by: Date: School Mitigation Reqd? Yes No X Everett School Dist Mukilteo School Dist # of Net New Units: r Calculated School Impact Fee: School Impact Fee Credit: Total School Impact Fee Owed: Comments: 5e?AIV-(D)q >C) Intake OK by: PUBLIC WORKS INTAKE: Checked By: Date: Comments: High Hazard Sites (Dental, Medical, Animals, Mortuary, etc -Review for RPBA) ❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED ❑ Route for Public Works Review (bldg folder, PW Worksheet) ❑ Public Works Perm it -Con curFent Review (separate.green folder) PW REVIEW: PW Reviewer: Date: %U1+ 9PW Permit Approved - PW I TO I — 016 ❑ See PW Review Worksheet AI1pr ❑ PW Permit Not Required FIRE DEPARTMENT Update/New Sprinklers Yes No Existing Bldg._ Update/ New Detection Yes No Existing Bldg. Update/ New Chemical Yes No Existing Bldg. Update/ New Fire Service Yes No Existing Bldg. Approved by: Date: Comments: