6107 BERKSHIRE DR A T AND T ANTENNA 2021-12-10

. FOR OFFICE USE ONLY & PERMIT # - ca(( BUILDING Bldg/Tl/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 RCW 64.55 MF worksheet req'd for permit? Yes No Add'] RCW 64.55 docs required prior to final? Yes No Architectural Approved: Date: Structural Approved: Date: Comments:1f Intake OK by: N',- Date: FEES Plan Check Fee Building Permit Surcharge Additional Plan Check Plumbing Fee Mechanical Fee Ping Bldg Review Fee Water Fee Sewer Fee Systems Dev. Fee Traffic Mitigation Fee Public Works Fee School Mitigation Fee PLANNING Zoning Classification — Overlay/Agreement Nonresidential Use C-( �'�ti�• (COL Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Landscape or Planning Inspection needed before final? Yes No Planning Inspector: -- Phone #: Approved) Date: 2 Historic Approved by: Date: School Mitigation Reqd? Yes No Everett School Dist Mukilteo School Dist # of Net New Units: Calculated Schoo 1 pact Fee: School act Fee Credit: T al School Impact Fee Owed: Comments:s�,M9 +�/_��(j�nSP Intake OK by' PUBLIC WORKS INTAKE: Checked By: 1613 Date: .j- / 7 Comments: High Hazard Sites (Dental, Medical, Animals, Mortuary, etc -Review for RPBA) Public Works - NOT REQUIRED ❑ Route for Public Works Review (bldg folder, PW Worksheet) ❑ Public Works Permit -Concurrent Review (separate green folder) PW REVIEW: PW Reviewer:- X4_6 Date: ❑ PW Permit Approved - PW ❑ See PW Review Worksheet 14 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: -7'Z