Laserfiche WebLink
0 FOR OFFICE USE ONLY 0 PERMIT#1 (-1 12� 1 <br /> BUILDING I PLANNING <br /> Bld TI ddn/Rem Size Z4/ 3 ! Zoning Classification �..�1, <br /> Garage Size Overlay/Agreement <br /> VALUATION Y Ic )1OOO Nonresidential Use <br /> Number of Stories II Residential Use <br /> Occupancy Group T I Proposed No.of Dwelling Units: <br /> Occupant Load 4'J Total No. of Dwelling Units: <br /> Basement Nel, Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction U "J3 needed before final? Yes_ No( <br /> Existing Sprinkler System? Yes) No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: ILA-VIA Date: 1 Z—`6-11 <br /> Existing Fire Alarm Yes 24 No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yeses No_ School Mitigation Reqd? Yes No 7( <br /> Reason Everett School Dist Mukilteo School Di <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No4 #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No4 Calculated School Impact Fee: <br /> Architectural Approved By/Date: L F- /r -Doc17 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: Ux✓k 0,5 <br /> 1,11 i Of Intake OK by: ; r Intake OK by: Ok to route Hold <br /> Make this a"W" '-rmit? Yes No <br /> PUBLIC WORKS <br /> FEES � <br /> INTAKE: Checked By: Date: 1 /AI I <br /> Plan Check Fee Comments: ( 1 r p adki yt S V <br /> Building Permit /YC, Sfd" Z-6,-/ 731e-e, �S1e <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,M6rtuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 017 Date: //if <br /> Water Fee ElPW Permit Approved-PW rr <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee VLPW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT, <br /> School Mitigation Fee Update/New Sprinklers Yes / No_ Existing Bldg. <br /> Update/New Detection Yes / No_ Existing Bldg. <br /> Update/New Chemical Yes_ No /Existing Bldg. 7' <br /> Update/New Fir('S rvic Yes_ No .7 Existing Bldg. 7 <br /> Approved by: ( f Date: E—o—I'J <br /> Comments: <br /> s?ca ceS .� <br /> -+-0 '_) 5-prt< 4 OL-44-12_\/1-. <br />