4807 BLACK FOREST LN 2017-01-13 - Laserfiche WebLink

FOR OFFICE USE ONLY BUILDING Bldg/TI/Addn/Rem Size Garage Size VALUATION No. of Stories Occupancy Group Occupant Load f3asement Yes No Fin/Unf Type of Construction Exstg Sprinkler System? Yes No Unk Fire Sprink Reqd? Yes No Reason Exstg Fire Alarm? Yes No Unk_ Fire Alarm Reqd? Yes No Reason Enclosure (RCW64.55) Yes No Addntl Enc Doc's Rqd? Yes No Approved by: �ate: Comments: 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 �IIT # I �o��O� PLANNING Zoning Classification Overlay/Agreement Nanresidential Use F:esidential �Jse Froposed No. of Dwelling �lnits: -I-otal No. of Dwelling Units: Landscape or Planning Inspection needed before final? Yes No Planning Inspector: Phone #: Approved b � Date� Z Historic Appro d by: Date: School Mitigation Req ? Yes No Everett School Dist Mukilteo School Dist # of Net New Units: Calculated School Impact Fee: __ School Impact Fee Credit: Total School Impact Fee Owed: C:omments: PUBLIC WORKS PW Permit Required? Yes No Intake Checked By: Date: Comments: Fire Sprinkler Required by Fire Dept? Yes_ No (Fees: Yes/No, Explanation, Permit #'s, Amount) Water Fee? Sewer Fee? Sy_stem Dev. Fee? Traffic Miti a� Fee? ��Z