Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# et go -a0: <br /> BUILDING ' PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification _ <br /> Garage Size ,7Z '/ Overlay/Agreement CC- <br /> VALUATION 30i <br /> (I/Z. Nonresidential Use <br /> Number of Stories I Residential Use SI <br /> Occupancy Group U Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: C`\� <br /> Basement No. Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction crr, 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: I s 12 SAY <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: IJ iPt Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No X <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: cift 7//5//& School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: p <br /> Comments: z67/.5- /,aG 0. <br /> Comments:AUS .rk&� CC,A&\k &S t.k '.FAIR-'r-WO <br /> C,,C)342)ACV c RccesscsCy ‘A`k`dk AV' <br /> Intake OK by: Intake OK Ok to route _ Hold <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS. <br /> FEES ? <br /> INTAKE: Checked By: e-e.--$ Date: a/5 <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 Review(separategre- fol.-r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 0/ �7 Date: / i <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee r11. PW Permit Not Required /141 <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 /> r Update/New Chemical Yes_ No_ Existing Bldg. <br /> Update/New Fire Service Yes No_ Existing Bldg. , <br /> Approved by: Date: <br /> Comments: <br />