Laserfiche WebLink
� FOR OFF/CE USE ONLY • PERMIT# �Y 1'� V � LZ-� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification � �� <br /> Garage Size Overlay/Agreement <br /> VALUATION �J� ; n'�`� 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�onstruction needed �efore final? Yes No� <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: �-- �" Date: 5'�— �Z--1� <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 BylDate: ���'�=-- � � a"��� School Impact Fee Credit: <br /> Structural Approved By/Date: �' � - 2 � Total School Impact Fee Owed: <br /> Comments: � Comments: <br /> 1 �1``I �1W� V �,v�ll <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: <br /> Plan Check Fee Comments <br /> Building Permit <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: Date: <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 /> Updatel New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: , <br /> Comments: <br /> � Z-z <br /> .���-_ <br />