Laserfiche WebLink
FOR OFFICE USE ONLYPERMIT# �'b ld I.01.1 ` <br /> BUILDINQ <br /> Bldg/TI/Addn/Rem Size i X/.S7 6 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Z- 62 Nonresidential Use <br /> Number of Stories 2- Residential Use 1,e4 S • <br /> - <br /> Occupancy Group � Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No_ Yes Fin / Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No�C <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: V-411(...-‘6ADate: ca-'34- <br /> Existing Fire Alarm Yes_ No_Unk_ 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_ No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: <It / //LA, School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: -O f SAL (p�,s Comments: rw 0( � � ciA _ <br /> Intake OK by: l+k- Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> P BLIc WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: 1� gaerE, (' �, <br /> Building Permit NQ Pi v //'i lh)r <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check gPublic 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 gre fold r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer 4E - Date: 2.1 29 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee JPW 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 /> YOtr4vUvuL're4voitiai <br /> �y �n <br />