Laserfiche WebLink
� <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Add em e �� U�-�. S� <br />Garage Size —' <br />- ;� � <br />VALUATION � � .�_ � �%' 3h ��J <br />Number of Stories � <br />Occupant Load _ % a--- _ <br />Basement Yes No Fin/Un <br />Tvpe of Construction �� <br />Existing Sprinkler System? Yes No1° Unk <br />Fire Sprinkler Required Yes No <br />Reason LXISt(I�l� �N'i 1 <br />Existing Fire Alarm Yes No Unk_ <br />Fire Alarm Required Yes No � <br />Reason Gu�SlIN(s (�!() '�JN� <br />Enclosure Law Applies Yes <br />Deferred Submittal Req'd Yes NO <br />Approved by: `�� Date: �, �_ <br />Comments: S�p���NV �,��S�p' <br />v C c � P r►n� r L o AJ� <br />l�I�� Nc7� C1�l�N�e�4 <br />f' -r�►^ 0!C 1 c�i NPr�- <br />n � ti.v� � � <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 Miti ation Fee <br />Public Works Fee <br />School Miti ation Fee <br />• . <br />PERMIT # � � ���' �V� <br />PLANNING <br />Zoning Classification �/1 V <br />Overlay/Agreement <br />Nonresidential Use <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: ��' � ' �,�/ <br />Historic Approved by: Date: <br />School Miti ation 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: <br />K�4 01� ' uv) � N� A�iC <br />PUBLIC WORKS <br />Intake Checked By: • Date: /�'—�'—�(:/� <br />Intake Comments: <br />.�� �� .s��� ..� �,,� .� <br />���g� �;� i�� ��� ��.� - <br />� <br />PW Permit Application Submitted? Ye No� <br />PW Worksheet Required? Yes No <br />PW.REVIEW: PW Reviewer: � _Date:_%�= —t�C��C <br />�EE PW WORKSHEET-returned to file <br />PW Permit Approved, _� PW Permit Not Required ct.7 <br />FIRE DEPARTMENT <br />pdate/New Sprinklers Yes _ No Existin Bldg.. <br />pdate/ New Detection Yes _ No � Existin Bld . <br />pdate/ New Chemical Yes _ No � Existin Bldg. <br />pdate/ New Fire Service Yes No � Existing Bldg. <br />pproved b : Date: • � ' <br />omments: �` N� �� 4,�,�,,,,� z�-t- <br />7�7�1�"'. <br />