Laserfiche WebLink
• �RMIT # �� ll�OG% ��� � <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size -` �'}'�� <br />Garage Size <br />VALUATION <br />Number of Stories <br />Occupancy Group �.�j " � <br />Occupant Load � 4 ' <br />Basement Yes No t�Fin/Unf <br />Type of Construction � _ <br />Existing Sprinkler System? Yes V No Unk <br />Fire Sprinkler Required Yes I/ No <br />Reason yC � � <br />Existing Fire Alarm Yes '� No Unk <br />Fire Alarm Required Yes v"� No <br />Reason ,� � C� <br />Enclosure Law Applies Yes <br />Deferred Submitt , Req'd Yes ✓No <br />Approved by: 1 Date: — 1 � <br />Comment : / <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />PLANNING <br />Zoning Classification �' <br />Overlay/Agreement <br />Nonresidential Use ���1t' 1+�1 ��e%��C��1L <br />Residential Use jv� (VE- <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: �— <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved y: Date: �� � ; <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Totai School Impact Fee Owed: <br />Comments: ,.._---' <br />PUBLIC WORKS <br />Intake Checked By� Date: S 3=Z��C <br />Intake Comments: le�,l� � /�tE'fzt/�/,-�//1/b �lt��ty��£ ��/.PF <br />(Sirrr%/a,r G�(s�-/G�::;lot,',��� o <br />f'l�.S ror tiv� b�1�� S�Nip� -�a�..�' it�ti- �;�¢� :����,% <br />i <br />PW Permit Applica4ion Submitt d? Yes 9�_ No� <br />PW Worksheet Required? Yes No � <br />PW REVIEW: PW Reviewer: �� Date: ,�j — 6— :�U�{� <br />;1�!�� SEE PW WORKSHEET-returned to file <br />� PW Permit Approved, _ _ PW Perrr��t Not Required <br />��"�''�1,5 - 'l� �.o�- Y�.� � r rtiw st.;,,.�t, ef <br />FIRE DEPARTMENT -- <br />Fire Sprinkler Required? Yes .�_ No <br />Fire Alarm Required? � Yes� No <br />APPROVAL TO�JS RMITS: Yes No <br />Fire Reviewer: � Date Reviewed: [._;�--� -I �- <br />Reviewed Urider Pd��ri�it Type/# <br />Comments <br />/�� vl^ _ <br />�� <br />