Laserfiche WebLink
{/f <br /> / <br /> FOR OFFICE USE ONLY PERMIT# 10\ 079 <br /> BUILDING PLANNING <br /> l cl /Addn/Rem Size /75/ .0. Zoning Classification e-- <br /> Garage Size 11:37 S# :. Overlay/Agreement <br /> VALUATION S2 j, 4/s-& Nonresidential Use __ <br /> Number of Stories n� d,e <br /> Residential Use (.L 1P4 S�O`/� <br /> K <br /> Occupancy Group 1O Proposed No.of Dwelling Units: <br /> Occupant Load r Total No.of Dwelling Units: 1 <br /> Basement No Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yeses No— N. <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: ' <br /> $ •. <br /> Fire Sprinkler Required Yes No_ Phone#: LI _'L1 J--7277 <br /> Reason Approved by: lit• Date: 5--11—I', <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes`7'( No_ <br /> Reason Everett School Dist S Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: 1 <br /> Deferred Submittal Req'd Yes_ No Calculated School Impact Fee: Cogs-0 <br /> Approved by: DaterA/jam School Impact Fee Credit <br /> Comments: 2_©`6 ��r_ 05" Total School Impact Fee Owed: �C-( <br /> �"" Comments: 55 0LI -OIZ <br /> t © t Intake OK by: <br /> 17 <br /> Intake OK by: 0149 /Z 7 <br /> PUBLIC WORKS, <br /> FEES INTAKE: Checked By: /re Date: i"20-1 7 <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 ,Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 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 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: ij,re k Gut S,crt S I Zrz c.r.)J\_� <br /> Lo-, 4— -.k--- rZ'kok\Jt-u-uw A. M"t 42._r-74—)-tiB t z.y <br />