Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# 3 ti 0 4-O5 3 <br /> :`BUILDING. I?LANNtNC :.,.:,,,i-::1;-:„.,-,.,.-.:.,,.:,:.,,,-.,:::-...-,-,, ,..: <br /> Bldg/TI/Add /Rem Size' (27 00 Sf" Zoning Classification 13 <br /> Garage Size Overlay/Agreement _ <br /> p <br /> VALUATION !'3/ 0 0° Nonresidential Use QE- r <br /> Number of Stories 1 Residential Use <br /> Occupancy Group [j Proposed No.of Dwelling Units: <br /> Occupant Load 46t /Y\Ax Total No. of Dwelling Units: <br /> Basement No4 Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction-: V b needed before final? Yes No %------- <br /> Existing Sprinkler System? Yes_ No N4 Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes)GNo_ Phone#: �' <br /> P Reason T4 dE 1-NOdPApprovedt.17111,41,/ Date:Z-112_62/ (�.— <br /> Existing Fire Alarm Yes_ No )d Unk_ Historic Approved by: Date: `ll <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No <br /> Reason I ict5T1i& JS Everett School Dist Mukilteo Scist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No X #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Calculated Schoo act Fee: <br /> Architectural Approved By/Date:ID -t.9 1-Pr 11 (P/2-0'I/ School I ct Fee Credit: <br /> Structural Approved By/Date: 1\1Ps 4)0 J Q, T al School I pact Fee Owed: <br /> Comments: Comment 4,(i <br /> , lc 46 &c �G�1 <br /> Intake OK by: 'Y 112.&011 -- IntakeOK Ok to route'gV\--- _ Hold <br /> Make this a"W" mit? Yes No <br /> PUBLIC WORKS <br /> FEES. ., INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: 'Q,fc K.O�" a 'Q-.i bier <br /> Building Permit <br /> Surcharge Hi h Hazard Sites(D-i --+i-.ical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ublic Worn' Sys Dev/ raffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Pu'tic 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: kI? Date: 4-27-/7 <br /> Water Fee 0 PW Permit Approved-PW____________________ <br /> Sewer Fee See PW Review Worksheet a '' ' L 1.41 <br /> 01(110 <br /> (110 <br /> Systems Dev. Fee 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,V' No_ Existing Bldg. / <br /> Update/New Fir Servv�'cce Yes_' No_... --Existing Bldg. <br /> Approved by' L Date: "").-/r7 -.17 <br /> Comments: <br />