Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# 611tp ! A. -013 <br /> BUILDING I PLANNING <br /> Bldg/TI/Addn/Rem Size ``"�%‘ Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION O 1- Nonresidential Use <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..x Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ‘4needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes No K Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No X Phone#: <br /> Reason Approved by: Date: <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: ` Date: g(R5/(?- School Impact Fee Credit: <br /> Comments: (A Total School Impact Fee Owed: <br /> Comments: <br /> 4-412hff,JC ff-oveL Yfd!1 <br /> re GSIred /c,ul ►�-, i'aw <br /> Intake OK by: i` <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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 green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: A--,6 Date: q—J4—/ 7 <br /> Water Fee PW Permit Approved-PW /67/2.— 0/ <br /> Sewer Fee 0 See PW Review Worksheet &`- tSS tie d <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 /> C7;/sD <br />