Laserfiche WebLink
P MT# h ( too( (20�j <br /> FOR OFFICE USE ONLY <br /> BUILDING" PLANNING <br /> Bldg/TI/Addn/Rem Size (9 (7(I O Zoning Classification <br /> Garage Size Overlay/Agreement - <br /> VALUATION Nonresidential Use flm y pi <br /> C ? <br /> T <br /> No. of Stories 1 Residential Use 1 <br /> Occupancy Group A - 3 Proposed No. of Dwelling Units: <br /> Occupant Load .,,. I _0 Total No. of Dwelling Units: ---""'— <br /> Basement Yes_ No Fin/Unf Landscape or Planning Inspection / <br /> Type of Construction needed before final? Yes_ No+_� <br /> Exstg Sprinkler System? Yes 1/No_Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes V No_ Phone#: <br /> Reason e-)1_ S-(CA Approved gq:----: ,-1 Date: (io /(p <br /> Exstg Fire Alarm? Yes VNo_Unk_ Historic Approved by: -------- Date: / <br /> Fire Alarm Reqd? Yes v7 No— School Mitigation Reqd? Yes No 1r <br /> Reason F.-Y.3 ¶G Everett School Dist Mukilteo School Dist <br /> Enclosure"(RCW 4.55) Yes No ✓ #of Net New Units: <br /> Addntl Enc Doc' Rqd? Yes No ✓' <br /> Approved by: '�h Date: / — /2, - ) t� Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No V <br /> Building Permit Intake Checked By: Date: <br /> Surcharge Comments: <br /> Additional Plan Check N'.o FL,) <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes_No_ <br /> Water Fee (Fees: Yes/No, Explanation, Permit#'s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee O NO <br /> Traffic Mitigation Fee `� <br /> , <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee tow <br /> tuoitatiai <br /> 2SZ <br />