Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# V ` t O✓ 00 <br /> b <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size p140 00 Zoning Classification C1-'5 <br /> Garage Size Overlay/Agreement C <br /> VALUATION l t 1) Opo Nonresidential Use 7ariAle". ,. Carlc.erl <br /> Number of Stories Residential Use <br /> Occupancy Group 13 Proposed No.of Dwelling Units: ---. <br /> Occupant Load "IL, Total No.of Dwelling Units: "—_ <br /> / —' <br /> Basement No V Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 1 - Pi needed before final? Yes_ No >c <br /> Existing Sprinkler System? Yes_ No ✓/Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No J Phone#: <br /> Reason Approved by: K.\1.ti O Date: (0-1.40 - i'. (0 <br /> Existing Fire Alarm Yes it 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 /> Enclosure Law Applie Yes #of Net New Units: <br /> Deferred Submittal R 'd Yes 4No_ Calculated School Impact Fee: <br /> Approved by: OA Date:/0 . (_f (, School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <br /> Intake OK by: 1(-1+- <br /> Intake OK by: Ai, <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: �E- Date: /0-//-20/‘ <br /> Plan Check Fee Intake Comments: orMat ina aj d dltg-rii-fdivta/ <br /> Building Permit -fp4,, matl Sade /ine <br /> -En 6r11 � �� <br /> Surcharge in �"Ps-Dom` /0C `9 <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mitigation-NOT REQUIRED <br /> Plumbing Fee lia 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: Date: //—g—vs/4 <br /> Water Fee ';i PW Permit Approved-PW 14 II 013- <br /> Sewer Fee 0 See PW Review WorksheetA/A- <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers IYes No xisting Bldg. 7- <br /> Update/New Detection Yes_ Noxisting Bldg. <br /> Update/New Chemical Yes_ No existing Bldg. <br /> Update/New Fire Servi e Yes_ No- Existing Bldg._ <br /> Approved by: (-A, Date:Date: /0-0-t C, <br /> Comments: ()‘fU <br />