10523 4TH DR SE 2016-08-31 - Laserfiche WebLink

• FOR OFFICE USE ONLY BUILDWG BldglTl/Addn/Rem Size Garage Size VALUATION Number of Stories Occupancy Group Occupant Load Basement Yes No Fin/Unf 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 Enclosure Law Req'd Yes Deferred Submittal Req'd Yes No Approved by: Date: Comments: U�,fl� Y'� � � r� "� 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 �MIT# � I �b��a� � PLANNING Zoning Classification 1 Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwe ' g Units: Total No. of D ling Units: Landsc e or Planning Inspection nee ed before final? Yes No Pianning Inspector: Phone #: Approved by: � Date: '� � � Historic Approved by: Date: School Mitigation Reqd? Yes No Everett School Dist Mukilteo School Dist # of Net New Units: Calculated Schootimpact Fee: School Impact Fee Credit: Total School Impact Fee Owed: Comments: w�,� ��-�- � s� � �.�Z� �� PUBLIC WORKS PW Permit Required? Yes No Intake Checked By: Date: Comments: �(�, t�J Fire Sprinkler Required by Fire Dept? Yes_ No (Fees: Yes/No, Explanation, Permit #'s, Amount) Water Fee? Sewer Fee? Svstem Dev. Fee? TrafFic Mitigation Fee?