Laserfiche WebLink
�1� �✓6 <br /> • FOR OFFICE USE ONLY PERMIT# V �� � � � � <br /> BUILDING PLA�INING <br /> BldglTl/Addn/Rem Size Zoning Classification �--' Z�S <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use �O "w� <br /> Number of Stories Residential Use <br /> i <br /> Occupancy Group Proposed No. of Dwelling Units: / <br /> Occupant Load Total No. of Dwelling Units: � <br /> Basernent No Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: ' Date: ��' � �I � <br /> c� <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No � <br /> Reason Everett School Dist Mukilteo School Dist � <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No #of Net New UnitS: �� <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: �' <br /> Structural Approved By/Date: Total School Impact Fee Owed: � <br /> Comments: , Comments: <br /> Y�0�" ��/1��� <br /> � <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: ��� Date: S- - -� 7 <br /> Plan Check Fee Comments: , <br /> l�r'�C� S������" C�zp � L-J':��, c%SCo%'�r� <br /> Building Permit I <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit. /RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> MeChanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ta_Date: .S� �f '/ � <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No_ Existing Bldg._ <br /> Update/New Detection Yes No Existing Bldg._ <br /> Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: <br /> Comments: � ') <br /> i ' <br /> � <br />