Laserfiche WebLink
� <br />FOR OFFlCE USE ONL Y �� 5 d S-��6 6 <br />BUILDING <br />Bldg/TI/Addn/Rem Size / Z, �S � . <br />t t7i G <br />Garage Size ��7 S �Z � _ <br />VALUATION � Z S <br />No. of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction <br />Exstg Sprinkler System? Yes No Unk <br />Fire Sprink Reqd? Yes No _ <br />Reason <br />Exstg Fire Alarm? Yes No Unk <br />Fire Alarm Reqd? Yes No <br />Reason <br />Enclosure (RCW64.55) Yes No <br />Approved by: Date: S Z/ <br />Comments: � � �2 � /LL � �J�'�C <br />� 5? �i� f� ��s�i.UU ����. <br />2�3 � s. � G A-n-4�� c�,�v�Q7se <br />�� � � v1o,�F �'P�� _ <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitigation Due? Yes No <br />School Mitigation Fee <br />PLANNING <br />Zoning Classification \�� (., <br />OverlaylAgreement "—"--' <br />Nonresidential Use ^'�"r <br />Residential Use <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 by� Date: S� �� <br />Historic Approved by: <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 />Total School Impact Fee Owed: �'�-- <br />Comments:�A(�,� �C� � Q�C �'n��� <br />aces�s ShQ�� 5e s+�c'��aC ` <br />a ���ne.�� a�.�e s�c �9 <br />rnu '4�. <br />� �Z <br />