Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# )( I -70k? o l 7 <br /> BUILDING <br /> BldgfTI/Addn/Rem Size Zoning Classification , <br /> 4 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use 01/1 0141. rial)y <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 I <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: Date: `‘Q if 11 <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 /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'l RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: /Nei, 't4Fc%..`-t 6/026/17 School Impact Fee Credit: <br /> Structural Approved By/Date: 414-41 <br /> Total School Impact Fee Owed: <br /> Comments: �� — Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS:. <br /> FEESE: Checked By: Date: <br /> INTAKE: <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(separate gree fol er) <br /> p� <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ieDate: (8((7 <br /> Water Fee W Permit Approved-PW �7M-0 <br /> Sewer Fee 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 />