Laserfiche WebLink
FOR OFFICE USE ONLY PERMIT# tS"l 025 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/�m Size) / ("co cio Zoning Classification g-Z <br /> Garage Size "' '� ,J�( Overlay/Agreement j <br /> ` <br /> VALUATION /3 / Q�LV Nonresidential Use Corrcni;,n, Cbl <br /> Number of Stories kli <br /> Residential Use <br /> Occupancy Group 8 Proposed No. of Dwelling Units: '- <br /> Occupant <br /> Occupant Load /a Total No. of Dwelling Units: <br /> Basement No S.. Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction L—73 needed before final? Yes— No X <br /> Existing Sprinkler System? Yes "x No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes `71- No Phone#: <br /> Reason Approved by: Y__ .14-e,y) Date: 1 -?-3--),K <br /> Existing Fire Alarm Yes 74 No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes t 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 Nql #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes NOL Calculated School Impact Fee: <br /> Architectural Approved By/Date: 441:0- /^,L -4( School Impact Fee Credit: <br /> Structural Approved By/Date: c---- Total School Impact Fee Owed: <br /> Comments: Comments: <br /> O <br /> / g' <br /> Intake OK by: �S \ VIntake OK by: Ok to route _ Hold <br /> Make this a"W"4'ermit? Yes_ No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: r/� <br /> Building Permit / <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, %.rtuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic ; ./RPBA- NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works RevieW(bldg folder, 'W Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concur nt Review(s •-r.'e green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Revie r: \.. <br /> Water Fee 0 PW Permit Approd-PW <br /> Sewer Fee 0 See PW Revi Worksheet <br /> Systems Dev. Fee 0 PW Permit of Required 1•30 ��, X.14% L.- <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 AV() Existing Bldg. <br /> Update/New Chemical Yes_ No ./Existing Bldg. <br /> Update/New Fre Se ice Yes_ No Existing Bldg. <br /> Approved by. ` � " Date: I-3(:)-(e) <br /> Comments: rii„ -sti. , <br /> Flre 02 IN'v1Ar4-- V\ 42_X-- W' v\ <br />