Laserfiche WebLink
• FOR OFFICE USE ONLY • PERrilla# 1 6(A -6 I (I <br /> Bldg/TI/Addn/Rem Size a G 0 Zoning Classification l,•i1 — <br /> Garage SizeJJ Overlay/Agreement <br /> `` <br /> VALUATION vS ) I �j 0 Nonresidential Use CO tLkl•- e-C1 — CMAik UP) <br /> Number of Stories I Residential Use _ / <br /> Occupancy Group _ > — ‘ Proposed No. of Dwelling Units: <br /> Occupant Load 2 Total No.of Dwelling Units: -7--- <br /> Basement <br /> Basement Yes— Noin/Unf Landscape or Planning Inspection _ <br /> Type of Construction i i(— t3 needed before final? Yes No <br /> Existing Sprinkler System? YesNo k/Unk Planning Inspector: - <br /> Fire Sprinkler Required Yes /No Phone#: .„------- <br /> Reason OL Approved .#741101' Date: 9/ is I [(to <br /> Existing Fire Alarm Yes No 1/ Unk Historic Approved by: Date: — <br /> Fire Alarm Required Yes✓ No— School Mitigation Reqd? Yes No <br /> Reason C- Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal eq'd Yes— No Calculated School Impact Fee: <br /> Approved by: /01- Date: �)/_I/_ School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: -- <br /> Comments: - <br /> s11n c k-‘0+ I n-A li-e <br /> 1BL1WC5 <br /> . _ _ <br /> _ = <br /> ggx004---e.',7,t-mongzugegutzeIntake Checked By: � Date �// <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check P11V PermifApplication Submitted? Yes— -- No — <br /> Plumbing Fee PW Worksheet Required? ' Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee SEE PW WORKSHEET-retu ed to file <br /> Water Fee - PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee ._. - _ ._ FIR E DEP.A! ttilitNT gi <br /> Traffic Mitigation Fee Update/New Sprinklers Yes No Existing Bldg. <br /> Public Works Fee Update/New Detection Yes_ No Existing Bldg. <br /> School Mitigation Fee Update/New Chemical Yes— No_ Existing Bldg._ <br /> Update!New Fire Service Yes— No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br /> r 1 <br />