Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# ...15‘9"1:)1 -c4e <br /> .. .. . ':BUILDING. .. . ..., PLANNIN : <br /> Bldg I/Addn/Rem Size <br /> Bldg <br /> .� `� Zoning Classification <br /> age Size "" i Overlay/Agreement <br /> VALUATION $ 3/ cols/ q 56 Nonresidential Use <br /> Number of Stories 1 Residential Use <br /> Occupancy Group 6 /5—I Proposed No. of Dwelling Units: <br /> Occupant Load t 1 3 Total No. of Dwelling Units: <br /> Basement No )d Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction U needed before final? Yes__X.. No— <br /> Existing Sprinkler System? Yes )4 No—Unk Planning Inspector: Jaw, d let&50,--1'1 <br /> Fire Sprinkler Required Yes )6 No— Phone#: l.1 Z.-' '2 —Z 9 7 `3----) <br /> Reason 1G C Approved by:A1 Date: r7/' (i- <br /> Existing <br /> Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes )4) No— School Mitigation Reqd? Yes No_ <br /> Reason (61, 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 /> F <br /> Architectural Approved By/Date:Ary () tAtLel 7(3 i/ ii School Impact Fee Credit: <br /> Structural Approved By/Date: ,%, 'S * 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 /> PUBLIC WORKS <br /> FEEg .., ,t., INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: s 121/013-01-- �7 O2 i <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 15i1 Public Works Permit-Concurre Review(separate gr en f !der) <br /> Ping Bldg Review Fee PPW{REVIEW: PW Reviewer;.* Date: <br /> Water Fee �l PW Permit Approved-PW 144f-03/ <br /> Sewer Fee gSee PW Review Worksheet640-6_ SIVE I <br /> Systems Dev. Fee 0 PW Permit Not Required / ItAg pe4.01/ <br /> Traffic Mitigation Fee <br /> Public Works Fee .,,. r.. 'ITBfiIPARTMENT. ., ,L <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 />