|
FOR OFFICE USE ONLY PERMIT# I -o , 0
<br /> 1j �yyJJ±'�` i X: �•
<br /> � -!y 7 � c, �i Y tr ,.� e"� F. 4 -� y
<br /> ,..,2,>�,. .,..... .....,.......,,.a ,...... v....,......,.t.>,k _....,,�...�....r..x... Y' Hx:;..2 .::.,....,�5�d.�;,tea,.svf r.,%__+�.s._'?t��"s'sAa����ffi.t.r is .. ..-,....,..,....,.. ,.., .,.._.
<br /> Bldg/TI/Addn/Rem Size Zoning Classification
<br /> Garage Size Overlay/Agreement
<br /> VALUATION 081a Nonresidential Use
<br /> Number of Stories Residential Use
<br /> Occupancy Group Proposed No.of Dwelling Units:
<br /> Occupant Load Total No.of Dwelling Units:
<br /> Basement No_ Yes_ Fin / Unfin • Landscape or Planning Inspection
<br /> Type of Construction 7 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:
<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 Approve•• Date: School Impact Fee Credit:
<br /> Structural Approved: 0;,0/ Date: 11/2 t+ Total School Impact Fee Owed:
<br /> Comments: Comments:
<br /> Intake OK by: Intake OK by: Ok to route _ Hold _
<br /> Make this a"W"Permit? Yes No
<br /> �, we a 'r ,xticc,fie aeu•.�h, �„*.^a;.et+ aps a `�. a`. ¢^ z �yA ,�^,
<br /> �5nfal^°`4 ��", INSEM 1�` fix "' gar ",'t,2�5 c1 f3 t' z��"
<br /> '.+.�''� s4 ia�.-,`v,..�' .at.�,, k E.e. :#s 1..e..-vc t�•➢ ...Fa•«,,�,�.o-
<br /> ._........, PROMRat , INTAKE: Checked By: Date:
<br /> Plan
<br /> Check Fee Comments:
<br /> Building Permit
<br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA)
<br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED
<br /> Plumbing Fee 0 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 PWW REVIEW: PW Reviewer: l-a Date: 9 /7-17
<br /> Water Fee KJ PW Permit Approved-PW
<br /> Sewer Fee 0 See PW Review Worksheet
<br /> Systems Dev. Fee 0 PW Permit Not Required
<br /> Traffic Mitigation Fee
<br /> Public Works Fee E- � s. .. ... ... .
<br /> School Mitigation Fee Update/New Sprinklers Yes 7 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: a ‘1"...g— Date: °/–(21-!
<br /> Comments: U
<br />
|