Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# a, c �► 'DZ <br /> ?♦ * s i a c' 4 * - y{n .srs �� .' <br /> ' tS} T s - K 7 ic1�y /^+ g f 3a r, , M „r.. Sf ., �_3rt ..pL M A�111�3FYs�.,.. \ F Y w. <br /> ...�.�e,.... ,.... ..,..,..r ....��d�1a0.7-I•�1:7�.._}a,.a:.a._.�t..... .. .. _..�� �.,3,�.a .�r .{L�. .. .. A? }....rL x.. �..e..!- ..,._�...... ....w_..,. .... _. j'' <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size may, — Overlay/Agreement <br /> VALUATION 9'/ ( Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant L•-d Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Constructio needed before final? Yes No <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Y- _ No_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes— '• 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 o #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No \ Calculated School Impact Fee: <br /> Architectural Approved: Date: School Impact Fee Credit: <br /> Structural Approved: Date: 2� 1 Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W"Permit? Yes_ No_ <br /> Mitentiffitgareita <br /> x£ ` . + r ffitl rt r'i 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: Jf 8 Date: 1-Z0-"//7 <br /> Water Fee PW Pertrrit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee IMBRISISS,Witi5MMINISMOSINSO <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 7 No_ Existing Bldg.— <br /> Approved by: ..�/r Date: `f—z4-_.L1 <br /> Comments: Z <br /> /z <br />