6930 EVERGREEN WAY 2017-08-10 - Laserfiche WebLink

FOR OFFICE USE ONLY PERMIT# 6 fit/I l 0 Q W BUILDING PLANNING Bldg/TI/Addn/Rem Size 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: Date: Existing Fire Alarm Yes No Unk Historic Approved by: Date: Fire Alarm Required Yes No School Mitigation Reqd? Yes No Reason P Everett School Dist Mukilteo School Dist Enclosure Law A plies Yes #of Net New Units: Deferred Submitt`f q'd Yes No Calculated School Impact Fee: Approved by: Date: - 0 1(, School Impact Fee Credit: Comments: Total School Impact Fee Owed: i Comments: f 0 r Intake OK by: Intake OK by: PUBLIC WORKS FEES INTAKE: Checked By: Date: Plan Check Fee Comments: Building Permit Y� Surcharge High Hazard Sites(Dental,M ical,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: