Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# c3kwa-0(09 <br /> BUILDING, PLANNING... <br /> Bid I/Addn/Rem Size t CA1a Zoning Classification L— I <br /> Garage Size Overlay/Agreement i - <br /> VALUATION 1`S(OU O Nonresidential Use 'Ck0Di <br /> Number of Stories I Residential Use <br /> Occupancy Group E Proposed No. of Dwelling Units: <br /> Occupant Loads Total No. of Dwelling Units: ---- <br /> Basement No 'k Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V J needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No A Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No>43 Phone#: <br /> Reason 4' 000 Sf Approved by: it.., j Date: — 17 <br /> Existing Fire Alarm Yes_ No )4 Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No )4 School Mitigation Reqd? Yes_ No <br /> Reason I't5L 4 (ALP Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No )4 #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: j \b School Impact Fee Credit: <br /> Structural Approved By/Date: kf pt 7MI-0 Total School Impact Fee Owed: <br /> Comments: 5( Sf e u P zit S D'"i SVT Comments: <br /> Intake OK by: APAlk Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> Pt113,LIC WORKS <br /> FEES INTAKE: Checked By., Date. 0 <br /> Plan Check Fee ''Comments: l () '1"" y 836 S-r <br /> Building Permit I � t % - No D{Zr1hGfe_ , <br /> Surcharge 1-‘1_1*Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check aPublic 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 eview(separate green fold r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 0 U17- <br /> Water <br /> Water Fee ❑ PW Permit App\oved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee gPW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New 'nklers Yes_ No_ Existing Bldg. <br /> Update/ ew Dete ' Yes n( No_ Existing Bldg._ <br /> Update/New Chemical Yes_ No Existing Bldg._ <br /> Update/New Fire Servic Yes_ No_ Existing Bldg._ <br /> Approved by: 5 6 -. 'J Date: 7/7 /r7 <br /> Comments: <br />