Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# O n/0-01-0 <br /> BUILDING.` ' PLANNING. <br /> BIdc Addn/Rem Size I 5 3? zp Zoning Classification E'"- i <br /> Garage Size Overlay/Agreement <br /> VALUATION j 375"000`00 Nonresidential Use S- `\ 1 @QJ ,/{e :\ <br /> Number of Stories l Residential Use <br /> Occupancy Group m Proposed No. of Dwelling Units: <br /> Occupant Load 3g Total No. of Dwelling Units: <br /> Basement No.$ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V ..- needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No '6 Phone#: <br /> Reason Approved by(------"Z-0Date: IZ fci\lZCC - <br /> Existing Fire Alarm Yes_ No—Unk Historic Approved by: ----- Date: --- <br /> Fire Alarm Required Yes_ No� School Mitigation Reqd? Yes_ No <br /> tk <br /> Reason Everett School Dist Mukilteo School Dist <br /> _ <br /> RCW 64.55 MF worksheet req'd for permit? Yes No a/ #of Net New Units: <br /> Add]RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: L4021' /`jfcvl"7 School Impact Fee Credit: <br /> Structural Approved By/Date: '—• Total School Impact Fee Owed: <br /> Comments: Comments: <br /> #I 1V '` �' <br /> Intake OK by: AA Intake OK b Ok to route _ Hold _ <br /> Make this a"W" it mit? 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 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 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 15,8 Date:/0-.23-1 7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet Mi Dev. -Pee <br /> Systems Dev. Fee I PW Permit Not Required rev,red - <br /> Traffic Mitigation Fee <br /> Public Works Fee FILE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No Existing Bldg._ <br /> Update/New Detection Yes_ No 1 Existing Bldg._ <br /> Update/New Chemical Yes No //Existing Bldg._ <br /> Update/New Fire.Se ice Yes_ No / Existing Bldg. <br /> Approved by: ,144e)-------- Date: 12-'"(-1't <br /> Comments: ! '' <br /> ,2\ <br />