4512 FOREST DR CINGULAR WIRELESS ANTENNA 2018-01-18

� • FOR OFFICE USE ONLY PERMIT# � l � �� ` ��'�� BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification � Garage Size Overlay/Agreement ----"-- VALUATION Nonresidential Use . ��L. � 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 Date: Existing Fire Alarm Yes No Unk Historic Approved by: Date: i' 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 Im ee: Approved by: Date: 2 � School I ee Credit: Comments: Y�fal School Impact Fee Owed: Comments:��]n� O� l ��'�(��1�.—�O lSl '�-� � ` � Intake OK by: Intake OK by: PUBLIC WORKS FEES INTAKE: Checked By: Date: Comments: (,��,� �� ..� �.Q� Plan Check Fee �, a 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 l�9.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��J''�� Sewer Fee ❑ See PW Review Worksheet/�rf} 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: 7� �