1526 LOMBARD AVE 2017-06-13 - Laserfiche WebLink

FOR OFFICE USE ONLY PERMIT# BUILDING PLANNING Bldg/TI/Add e ize 70 9`/ Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use Number of Stories Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupant Load Total No. of Dwelling Units: Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection Type of Construction needed before final? Yes No Existing Sprinkler System? Yes No Unk Planning Inspector: Fire Sprinkler Required Yes No Phone#: - Reason Approved by: K.1 Date: 10 L `Y,(w Existing Fire Alarm Yes No Unk Historic Approved by: Date: Fire Alarm Required Yes No School Mitigation Reqd? Yes No Reason Everett School Dist Mukilteo School Dist Enclosure Law Applies Yes #of Net New Units: Deferred Submittal Req'd Yes No Calculated School Impact Fee: Approved by: Date:/, School Impact Fee Credit: Comments: Total School Impact Fee Owed: Comments: Qex � d- gprye� Yt�t- ba�COCOC4 - �J1lf4E,4 0X( OA°LI Intake OK by: ni'I Intake OK by:�_ PUBLIC WORKS FEES INTAKE: Checked By: Date: Plan Check Fee Comments: L Building Permit Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) Mechanical Fee ❑ Public Works Permit-Concurrent Review separate green folder) Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: Water Fee ❑ PW Permit Approved-PW Sewer Fee ❑ See PW Review Worksheet Systems Dev. Fee ❑ PW Permit Not Required Traffic Mitigation Fee Public Works Fee FIRE DEPARTMENT School Mitigation Fee Update/New Sprinklers Yes No Existing Bldg._ Update/New Detection Yes No Existing Bldg._ Update/New Chemical Yes No Existing Bldg._ Update/New Fire Service Yes No Existing Bldg. Approved by: Date: Comments: