1871 ROSS AVE VERIZON ANTENNA 2018-01-04

� � l b- F1R IFFICE USE 1NLY �ERMIT� �1, BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification —Z Garage Size Overlay/Agreement �F F`� 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: �O��y� 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 App ies Yes #of Net New Units: Deferred Submittal eq'd Yes No Calculated School Impact Fee: Approved by: Date: V - - �i� School Impact Fee Credit: Comments: � Total School Impact Fee Owed: � Comments: p,��foJe-c�. .�C,� r2,Mo✓al o, r2�Ipen,.ar•A—o� �JI�� .�w�r— p�ty --- !W OYGe.� c..�dk- ct�rw-Lol or �M;� a5 Po��- � �,,;3 pum.��- Intake OK by: Intake OK by: PUBLIC WORKS FEES INTAKE: Checked By: Date: Plan Check Fee Intake Comments: Building Permit Surcharge Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mitigation- NOT REQUIRED Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Warksheet) 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 Exisiing Bldg._____ Update/New Chemical Yes No Existing Bldg._ Update/New Fire Service Yes No Existing Bldg._ Approved by: Date: Comments: /,- I ��.