Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# ��� D�G' ��� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size i��� Zoning Classification ' <br /> Garage Size "� Overlay/Agreement C, % <br /> ;�� � GvU �'" �S�a_ — ��11`MZ <br /> VALUATION � Nonresidential Use 4�X1 <br /> Number of Stories � Residential Use ` � <br /> _-: _ _ <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load �`� Total No. of DNielling Units: -� <br /> Basement No� Yes Fin / Unfin Landscape or Planning Inspection <br /> , — � �_ <br /> Type of Construction �I� needed before final? Yes No % <br /> Existing Sprinkler System? Yes No�Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No �X Phone#: <br /> Reason �k�5T1��: Approved by: ���. Date: �p '� Z j , <br /> Existing Fire Alarm Yes No �' Unk Historic Approved by: �' Date: <br /> Fire Alarm Required Yes No -X School Mitigation Reqd? Yes No �ti <br /> d <br /> Reason �X I��f t��" Everett School Dist Mukilteo School Dist i <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 By/Date: ,MC,� i�l�� �������' School Impact Fee Credit: <br /> r <br /> Structural Approved By/Date: �' �� y� Total School Impact Fee Owed: " <br /> Comments: Comments: ����� � <br /> �'�- d�`- <br /> Ct���� LL e.--�� <br /> Intake OK by: �Y 1tt Intake OK by: Ok to route Hold <br /> Make this a "W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: ��S . S Date: � Zv <br /> Plan Check Fee Comments: ��� ��� ��- � � �jF <br /> i � �,��?� ���� � <br /> Building Permit � � � �n �� �''- _ f � � "- <br /> r) -��-� �,h �f'o 0 R�vl�i�j Frr sys E� <br /> Surcharge �gh azard Sites(Dental/Medical, nima s,Mortuary�tc-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-Concurren Review(separate gre n older) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: g �) <br /> Water Fee ❑ PW Permit Approved- PW I I_ _/ ' <br /> Sewer Fee y❑ See PW Review Worksheet �4S /1'l� Q�`��� <br /> Systems Dev. Fee �l PW Permit Not Required �S� 7- �• �rl ?id�t <br /> Traffic Mitigation Fee fl S�'S s�/f�• <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No l Existing Bldg._ <br /> Update/New Detection Yes No Existing Bldg._ <br /> Update/New Chemical Yes No� Existing Bldg._ <br /> Update/New Fir Service Yes No Existing Bldg._ <br /> Approved by: Date: 7-�Z-- �"7 <br /> Comments: <br /> Z� � <br />