Laserfiche WebLink
x , FOR OFFICE USE ONLY PERMIT# 17U o 9 <br /> ui rV f3rd 5 <br /> BUILDING PLANNING <br /> B girl/ do/Rem Size N R Zoning Classification 1 3 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use •NNW\ <br /> Occupancy Group 11- No.of Dwelling Units: ---- <br /> Occupant Load (vA Total No.of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction J Q needed before final? Yes No x <br /> Existing Sprinkler System? Yes_ No )( Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No X Phone#: <br /> Reason L X 1.S11nu' Approved by: --, J Date: 3 s 3.47 <br /> Existing Fire Alarm Yes No_Unk >C, Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No `C <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes X No_ #of Net New Units: <br /> Add'l RCW 64.55 docs required prior to final?Yes)( No_ Calculated School Impact Fee: <br /> Architectural Approved:Ki.) (,O/ Date:444 School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: TX rem 1-- bM...9 Comments: <br /> Intake OK by: )(Or <br /> Intake OK by: itAtf Date: 1►1R 7 i7 <br /> �7�"'�7`'` PUBLIC WORKS <br /> FEES INTAKE: Checked By � Date: 2//a/Zo/7 <br /> Comments:SZl87661- <br /> ,r COO 87t - 4 • Ot7E P4/1�Fi�n/f <br /> Plan Check Fee <br /> Building Permit fd 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-Concur-ent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:* Date: fq 3-31-f/ <br /> Water Fee PW Permit Approved-PW13c1-09-4 <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 />