6200 23RD DR W TEAGUE 2017-04-10

f VIII# b1b2o/' FOR OFFICE USE ONLY BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use No. of Stories Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupant Load Total No. of Dwelling Units: Basement Yes_ No Fin/Unf Landscape or Planning Inspection Type of Construction needed before final? Yes No Exstg Sprinkler System? Yes No Unk Planning Inspector: Fire Sprink Reqd? Yes No Phone#: Reason Approved by: Date: Exstg Fire Alarm? Yes No Unk Historic Approved by: Date: Fire Alarm Reqd? Yes_ No School Mitigation Reqd? Yes No_ Reason Everett School Dist Mukilteo School Dist Enclosure (RCW64.55) Yes_ No #of Net New Units: Addntl Enc Doss �}Rgd? Yes No Approved byL'/i/72 .. pate: ,,2 - 3 6 Calculated School Impact Fee: Comments: School Impact Fee Credit: Total School Impact Fee Owed: Comments: FEES PUBLIC WORKS Plan Check Fee PW Permit Required? Yes No Building Permit Intake Checked By: Date: Surcharge Comments: Additional Plan Check Plumbing Fee Mechanical Fee Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes No Water Fee (Fees: Yes/No, Explanation, Permit#'s, Amount) Sewer Fee Water Fee? Sewer Fee? Systems 0ev. Fee Traffic Mitigation Fee Public Works Fee System Dev. Fee? Traffic Mitigation Fee? School Mitigation Fee • 2� 2