Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# l q0 Lf -OZz <br /> '�g`'•'I �y5 py/± S <br /> z_ 3 .a\ ft• 37 �67�1Y.1� P o & t ; r'' o' ?met.-'T tot pANNt o t': t f^'E\ E (3 ....5}_. <br /> } , <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Co 810. Nonresidential Use <br /> N ber of Stories Residential Use <br /> Occup- cy Group Proposed No.of Dwelling Units: <br /> Occupant L.-d Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin 1 Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No— <br /> Existing Sprinkler System? es No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: Date: <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: late: School Impact Fee Credit: <br /> Structural Approved: #/ Date: 4 22 Total School Impact Fee Owed: <br /> Comments: 4 Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W'Permit? Yes No <br /> iMT�+1'�s _ -Y K aC�.--'.:.:.'2.+i :]e.xF:i+>.+i�:.-b:.Yu.::3%'w '.-k 'i:eren1 <br /> IeKsRN TIM? ` Sw 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 Teen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:�L9 Date: 0 /7 <br /> Water Fee PW Permit 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 <br /> School Mitigation Fee Update/New Sprinklers Yes 7 No_ Existing Bldg._, <br /> Update/New Detection Yes_ No_ Existing Bldg.— <br /> Update/New Chemical Yes— No_ Existing Bldg. <br /> Update/New Fire Service ,Yeses-7 No_ Existing Bldg. <br /> Approved by: \�""`�. Date: `i <br /> Comments: ° 214) <br /> 1 <br />