Laserfiche WebLink
t FOR OFFICE USE ONLY PERMIT# Cam 'd. <br /> 01115 <br /> BUILDING PLANNING <br /> Bld /TI ddn/Rem Size R Zoning Classification 12‘C.3 <br /> Garage Size — Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories na" Residential Use V\(.)\ .- <br /> Occupancy Group FEZ Proposed No.of Dwelling Units: <br /> Occupant Load fJ R Total No. of Dwelling Units: `-"-- <br /> Basement No_N Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No x <br /> Existing Sprinkler System? Yes_ No n Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason tX 0311047- Approved by: 16..,01d Date: 3 s 3,17 <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No 1r` <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes )4 No_ #of Net New Units: <br /> Add!RCW 64.55 docs required prior to final?Yes)G No_ Calculated School Impact Fee: <br /> Architectural Approved: pj kiLeA Date:4 j/(i School Impact Fee Credit: <br /> Structural Approved:tar (IRO Date: Total School Impact Fee Owed: <br /> Comments: e-i iemot.- d,N, i Comments: <br /> __ , tt� � Intake OK by: )\* <br /> Intake OK by: Date:_ <br /> ` PUBLIC WORKS <br /> FEES INTAKE: Checked By Date: Z/la/ 1 7 <br /> Comments:SSS C'tab'`M 4 • One P4J� mfr <br /> Plan Check Fee <br /> Building Permit f,f S <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 [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:34-r--� <br /> Water Fee I2,PW Permit Approved-PW 01-C3"O <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 DARTMENT <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 />