Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# S\ D" "03 5 <br /> . ... . , .BI ILOING <br /> Pt . . .. . . . . <br /> BldgITl/Addn/Rem Size Zoning Classification F`1 AV\0 <br /> Garage Size Overlay/Agreement \ <br /> VALUATION Nonresidential Use `{(��' ''O-�+,1 <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 Inspectio <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 c- -') Date: LA /k'I 1 Z..0\ <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: 1'!ik- Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason 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 prio o final?Yes No_ Calculated School Impact Fee: , <br /> Architectural Approved By/Date: , School Impact Fee Credit: <br /> Structural Approved By/Date: / �`y`` Oyhzegj Total School Impact Fee Owed: <br /> Comments: Comments: \\-\S�� qOVU - 6&S;No.\/. <br /> V <br /> Intake OK by: Intake OK by: ---e Ok to route 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 Mk Mt(ti <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 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: <br /> Wtct, L' } <br />