Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# Ib( -OD <br /> BUILDING" PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement \\ �\ <br /> VALUATION Nonresidential Use OSS �'<8 .)Ci <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: Date: —4'(k 1,'+i0k% <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: +-I t c Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo Sfb,oalLDist <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 I ct Fee: <br /> Architectural Approved By/Date: 4' ,�, D School Impact F e Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: K\%A..Q))1\ -C'MN\ ante S\%tr1 COAAG� <br /> X\ Qook S� �S \omav�� <br /> U` AC4 <br /> Intake OK by: Intake OK by: Ok to roue _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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 0 Public Works Permit-Concurrent eview separate green fo[der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: • <br /> ,//4: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required f\t0 - E. <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: Ot)I <br /> tg, t( <br /> � 9/n <br />