Laserfiche WebLink
FOR OFFICE USE ONLY <br />BUILDING <br />Bidg 1/ ddn a Size <br />a. <br />Garage Size <br />VALUATION <br />See X)T e r <br />Number of Stories <br />i <br />Occupancy Group <br />Occupant Load <br />oil <br />Basement <br />No,9 Yes Fin / Unfin <br />Type of Construction <br />Existing Sprinkler System? <br />Yes )Q No Unk <br />Fire Sprinkler Required <br />Yes _ No <br />Reason I?AtLKIN.L GRR (,e �'({itt, <br />Existing Fire Alarm <br />Yes 44 No _ Unk <br />Fire Alarm Required <br />Yes V No <br />Reason <br />MOO 1 � k c.'k 110 jd S <br />Does this include Multifamily Building Enclosure? Yes <br />Is a deferred Inspection Letter Req'd? Yes. No <br />Architectural Approved by: A*(-, C Date: <br />Structural Approved by: t`p- Date: <br />Comments: <br />Intake OK by: Date: <br />FEES <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 />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />PERMIT #f I✓ t � ����� <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Q <br />Residential Use <br />Proposed No_ of Dwelling Units: <br />Total No. of Dwelling Units: <br />—' <br />Landscape or Planning inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />L" <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: <br />Intake OK by: <br />rr PUBLIC WORKS <br />1INTAKE: Checked Bv: Il/"� Date: <br />High Hazard Sites (Dental, Medical, Animals, Mortuary, etc -Review for RPBA) <br />IN Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />❑ Route for Public Works Review (bldg folder, PW Worksheet) <br />PW REVIEW: PW Reviewer: Date: <br />❑ PW Permit Approved - PW <br />❑ See PW Review Worksheet <br />❑ PW Permit Not Required <br />FIRE <br />QEPARTMENT <br />Update/New Sprinklers <br />Yes <br />No Existing Bldg._ <br />Update/ New Detection <br />Yes <br />No _ Existing Bldg. _ <br />Update/ New Chemical <br />Yes <br />No Existing Bldg. _ <br />Update/ New Fire Service <br />Yes _ <br />No Existing Bldg. _ <br />Approved by: <br />Date: <br />Comments: <br />7 <br />