Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# 1 q64 azs-{ <br /> BUILDING • PLANNING <br /> Bldg/TI/Addn/Rem Size 141-411 _Sr Zoning Classification 2-2 <br /> Garage Size 33 cc$ Overlay/Agreement <br /> VALUATION CO OOc' Nonresidential Use <br /> Number of Stories I Residential Use de.1.70/,eel <br /> Occupancy Group 12% 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 Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: , <br /> Reason Approved by: 1K..• 4 Date: —1- 12j—a'1 <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No NIC <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 By/Date: -97/1f1/4 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Zp As- jkc > l J C. Comments: <br /> Intake OK by:'J k ' ' �� _' Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> UBLIC"WORKS <br /> FEES INTAKE: Checked B :.moi% Date: V j3-ZOIP <br /> Plan Check Fee Comments: 1\it Ft() 0./P-4...11A- <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 eview(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer Date: 3-f13-Ze( <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 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 /> Update/New Chemical Yes No_ Existing Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />