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FOR OFFICE USE ONLY PERMIT# !) ?.03 -035 <br /> BUILDING PLANNING. <br /> Bldg/TI/Addn/Rem Size Zoning Classification _ 2 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use (-40(-_ ,(2_3q <br /> Number of Stories Residential Use - <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: A <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 <br /> ------Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved b r sil Date: 3)24 1 IT <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved •y: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ N. _ <br /> Reason Everett School Dist ii- eo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No_ #of Net New Uni : <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculate. :chool Impact Fee: <br /> Architectural Approved By/Date: i l 1 .414ti 18 School Impact Fee Credit: <br /> Structural Approved By/Date: t Total School Impact Fee Owed: <br /> Comments: �..�. ,L—L ,t2 Comments: <br /> Intake OK by: ' *111'6 Intake OK by: Ok to route _ Hold _ <br /> Make this a"W' ermit? Yes No <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 ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green f !der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: W1-3 Date: a <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee rig 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_ Ncy.------Existing Bldg. <br /> Update/New Fi Service Yes_ No�xisting Bldg.— <br /> Approved b Date: 3-21—(g _ <br /> Comments: :a.-* .?‘k cx4.101.41. <br />