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

FOR OFFICE USE ONLY PERMIT #b 130 BUILDING ... �PL AN Bldg/TI/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use Number of Stories Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupant Load Total No. of Dwelling Units: Basement No Yes Fin / Unfin Landscape or Planning Inspection needed before final? Yes No _y Type of Construction Existing Sprinkler System? Yes No Unk Planning Inspector: Fire Sprinkler Required Yes _ No _ Phone #: Reason Approved by: Date:Ul- Existing Fire Alarm Yes No Unk Historic Approved by: Date: Fire Alarm Required Yes No School Mitigation Reqd? Yes No Reason 77-rEverett School Dist Mukilteo School Dist RCW 64.55 MF worksheet req'd for permit? Yes _ No # of Net New Units: Add'I RCW 64.55 docs required prior to final? Yes No Calculated School Impact Fee: Architectural Approved By/Date: School Impact Fee Credit: Structural Approved By/Date: Total School Impact Fee Owed: Comments: U Intake OK by: Comments: Intake OK by: Ok to route Hold Make this a "W" Permit? Yes No F BLIC WORK;; FEES.,INTAKE: Checked By: Date: $ ZD Comments: NO �All Tfn (�QY p71 High Hazard Sites (Dental/Medical, Anim"Mort,ry, etc -Review for RPBA) 19Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED ❑ Route for Public Works Review (bidg folder, PW Worksheet) ❑ Public Works Permit -Concurrent eview (separate gr n f Ider) Plan Ch:,............ eck Fee Building Permit Surcharge Additional Plan Check Plumbing Fee Mechanical Fee Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: �@ ❑ PW Permit Approved - PW t❑►See PW Review Worksheet 1al PW Permit Not Required Water Fee Sewer Fee Systems Dev. Fee Traffic Mitigation Fee Public Works Fee FIRE QEPARTMENT .., .' School Mitigation Fee 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 lYes No Existing Bldg. _ Approved by: Date: Comments: (� 01„