11400 19TH AVE SE 2017-08-02 - Laserfiche WebLink

FOR OFFICE U�E ONLY PERnniT# �� ' � �� "�� BUILDIN(� PLANNING Bldg/TI/Addn/Rem Size � Zoning Classification ��,,f Garage Size Overlay/Agreement —' VALUATION Nonresidential Use Q 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 JC� Existing Sprinkler System? Yes No Unk Planning (nspector: Fire Sprinkler Required Yes Na Phone#: Reason Approved by: Date: � �Z� � � Existing Fire Alarm Yes No Unk Historic Approved by: Date: Fire Alarm Required Yes No School Mitigation Reqd? Yes No X 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: 5�� \lo�JbS 1 5(�f�� 'oZz� Sub��--}p �� O��i a�S � ��l b-oo5 Intake OK by: , �. Intake OK by: PUBLIC WORKS . FEES INTAKE: Checked By:� Date: Plan Check Fee Comments: 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(bidg folder, PW Worksheet) Mechanical Fee ❑ Public Works Permit-Concurrent Review separate gr n folder) Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: � Water Fee �PW Permit Approved-PW — Sewer Fee �I Se —JTA 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: Z(� � _l `