Laserfiche WebLink
0 FOR OFFICE USE ONLY 10 PERMIT # C 1 0a - 5 <br />BUILDING <br />PLANNING <br />BldglTI/Addn/Rem Size <br />Zoning Classification <br />A <br />Garage Size <br />Overlay/Agreement <br />VALUATION <br />Nonresidential Use <br />Number of Stories <br />Residential Use <br />�'► -3 ins <br />Occupancy Group <br />Proposed No. of Dwelling Units: Z <br />Occupant Load <br />Total No. of Dwelling Units: <br />Basement <br />No _ Yes XdIn Unfin <br />Landscape or Planning Inspection <br />needed before final? Yes -?(No <br />Type of Construction <br />Existing Sprinkler System? <br />Yes _ No _ Unk_ <br />Planning Inspector: <br />Fire Sprinkler Required <br />Yes _ No— <br />Phone #: 2S� <br />Reason <br />Approved by: Date: <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 />Everett School Dist Mukilteo School Dist <br />RCW 64.55 MF worksheet req'd for permit? Yes _ No <br /># of Net New Units: i x <br />Add'I RCW 64.55 docs required prior to final? Yes _ No <br />Calculated School Impact Fee: Z?� <br />Architectural Approved By/Date: <br />School Impact Fee Credit: �-- <br />Structural Approved By/Date: Gj jQ t $ <br />Total School Impact Fee Owed: <br />Comments: <br />Intake OK by: <br />Comments: <br />Intake OK by: )L_W Ok to route Hold <br />Make this a "W" Permit? Yes No <br />PUBLIC WORKS <br />FEES <br />INTAKE: Checked By: Date: <br />,i <br />Comments: 7'0 <br />High Hazard Sites (Dental/Medical, Animals, Mortuary, etc -Review for RPBA) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />56 Route for Public Works Review (bldg folder, PW Worksheet) <br />❑ Public Works Permit-Concurren Review (separate gr en f Ider) <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 />IE� PW Permit Approved - PW /Ro6-427- <br />5ZSee 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 />FIRE DEPARTMENT <br />School Mitigation Fee <br />Update/New Sprinklers <br />Yes No Existing Bldg._ <br />Update/ New Detection <br />Yes No ZExisting Bldg. <br />Update/ New Chemical <br />Yes No xisting Bldg. <br />Update/ New Firp Service <br />Yes No Existing Bldg. _ <br />Approved by: Date: (� -► $_t <br />Comments: j <br />