2010 113TH PL SE 2017-01-18 - Laserfiche WebLink

�� �UII_DING Bidg/TI/Add em ize Garage Size VALUATION � �'%� Number of Sfories � Qccupancy Group � � Occupant Load Basement Yes No Fin/Unf Type of Construction � Existing Sprinkler System? Yes No Unk Fire Sprinkler Required Yes No Reason Existing Fire Alarm Yes No Unk Fire Alarm Required Yes No Reason Enclosure Law Applies Yes Deferred Submittal Req'd Yes No Approved by: Date: � � Comments: � Jl Z /�G FEES Plan Check Fee Building Permit Surcharge Additional Plan Check Plumbing Fee Mechanical Fee Ping Bldg Review Fee Water Fee 5ewer Fee �ystems Dev. Fee �raffic Mitigation Fee 'ublic Works Fee �chool Mitigation Fee ��8�� S� �6��..� Classification ERMIT # Ci � W D�` O O� �'L,4i�lilllNG Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Landscape or Planning Inspection needed before final? Yes No Planning Inspector: Phone #: /" Historic Approved by School Mitigation Re� Everett School Dist �# of Net New Units: [�W Dafe: � � � ,r.-- Date: �---- ? Yes No Mukilfeo School Dist Calculated School Impact Fee: School Impact Fee �redif: Total School Impact Fee Owed: Co�7�ments: PUBLIC WORKS Intake Checked By: Dafe: Intake Comments: PW Permit Application Submitted? Yes No PW Worksheet Required? Yes No PW REVIEW: PW Reviewer:___��_Date:� SEE PW WORKSHEET-returned to file PW Permit Approved, � PW Permit Not Req ��Z