Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# G l U(A---0I 0 <br /> i I*��' 3,3 g d ��d l;zr, ,39 3 "*"+ rd_sy4[.it,,, .# .`,,z... ✓ .4.,.,44—„,„'w <br /> { 3 x <br /> Bldg/TI/Addn/Rem Size NYY Zoning Classification -R, -4 <br /> Garage Size Overlay/Agreement �'�,k <br /> VALUATION A Z3 Z Nonresidential Use <br /> Number of Stories Residential Use S rK <br /> Occupancy Group IZ Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes X No Fin{ 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#: I <br /> Reason Approved bier' Date: f 1.0 I lb <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No— School Mitigation Reqd? Yes No— <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: <br /> Approved by: V 69 Date1 n lit, School Impact Fee Credit: <br /> Comments:2o/�-- //2 . Total School Impact Fee Owed: <br /> Comments: <br /> 344 z ( 0414147o MC6 'lie- 02-0 1 Wot -(b <br /> 240/ woe._ 10%11. <br /> ...4 i* * '' v M 2 2 as <br /> ^, y ac xt�}`#'�F,� (. L fit,Ss; M1 J f <br /> ac ' <br /> 5r._. E-tS �z $ � a rm, Intake Checked By. ie8 Date: 6—/e2"-� <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, )( PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee % t ,.,�_, aatfix ` , 't>l it1 +IT <br /> Traffic Mitigation Fee Update/New Sprinklers Yes_ No Existing Bldg._ <br /> Public Works Fee Update/New Detection Yes_ No_ Existing Bldg._ <br /> School Mitigation Fee Update/New Chemical Yes_ No_ Existing Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> 1212 <br />