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FOR OFFICE USE ONLY PERMIT# I 9O 62 l <br /> BUILDING <br /> ;: . PLA1414INP :; <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 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._ Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 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: <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'I RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: 4,2771F- /P-APL.f? School Impact Fee Credit: <br /> Structural Approved By/Date: OVAIVrA'c:q Total School Impact Fee Owed: <br /> Comments: C' ro fir€ TO Pr/LE Fr2S7. Comments: <br /> A,°PLr d.vr ` 4,/ E0f ra cAi..Cs V ^ p,� 1 ,, , ' <br /> Oererc.S roe v.✓co To Jo°.o Cis I �L,o2f. V to I'` '11'17�V <br /> i/Y <br /> Intake OK b „_1_4t__,74.//,0/z41,4)( Intake OK by: Ok to route _ Hold <br /> Make this a"W”Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit Y O <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: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <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_ No " Existing Bldg. <br /> Update/New Fire ervice Yes_ No-l Existing Bldg. <br /> Approved by: Date: 41/I-.( <br /> Comments: f <br /> / (24 <br />