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FOR OFFICE USE ONLY PERMIT# J\g(14- 035 <br /> BUILDING PLANNING <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: K. Date: -"Zc)— I <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 Fina?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: ` /r;� School Impact Fee Credit: <br /> Structural Approved By/Date: ` rb Total School Impact Fee Owed: <br /> Comments:C Comments: <br /> \v.�rri� 813e4,v,43 <br /> caqerc.ecl a, <br /> ' <br /> Intake OK by: Iby: <br /> nta a OK Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> P LIC WORKS <br /> FEES .; INTAKE: Checked By. E Date: <br /> Plan Check Fee Comments] n <br /> Building Permit 'V� flu) S[ Cre <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check isiPublic 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 gre n fold r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer Date: �f/41O <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee NCPW 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 />