Laserfiche WebLink
• • <br />FOR OFFIC,E USE OMLY � G 5 �. L`C� Q� <br />BUILDING <br />Bldg/TI/Addn/Rem 5ize <br />�a /B.G�.} �, sZy�j � T <br />O� Size �j 5 <br />VALUATION � 5 2 <br />No. of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type oT Construction � <br />Exstg Sprinkler System? Yes No Unk <br />Fire Sprink Reqd? Yes No <br />Reason <br />Exstg Fife Alarm? Yes No Unk <br />Fire Alarm Reqd? Yes No <br />Reason <br />Enclasure (RCW64.55) Yes _ No _ <br />Approved by: D�te: / <br />Comments: � DC� r � <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 />'ublic Works <br />�raffic Mitlgation Due? Yes No <br />3chool Mitigation Fee <br />PLANNIIdG <br />Zoning Classification <br />Overlay/Agreemen# <br />Nonresidential Use <br />Residential Use <br />�Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspes <br />needed before �nal? �Y-es � <br />Planning Inspect� <br />Phone #: <br />IAnnrrnrc>ri h�r �� f1�+P. \\ �� <br />rr•_'_--1• <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilte9 �chool Dist <br /># of Net New Units: <br />Calculated 5chool Impact Fee: ' <br />School Impact Fee Credit: <br />Total School lmpact Fee Owed; <br />Commepts: . . . <br />�O� 5�0.�� � P�CTOc#.C� � t�� 't <br />SQ,�'04c.i-- � vrltJ,c2 ��n0'� S�� ��. <br />�a� �MOt�2- �`�� �ti�� �h <br />S 0. `� P�CCbQ.0 �c`�� (`� � <br />2 <br />�'7� ;�r��i <br />Sctc�� <br />Se��oO.C�(.. <br />