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FOR OFFICE USE ONLY PERMIT# LrO( 'dc <br /> BUILDING PLANNINt <br /> BIdg/Tl/Addn/Rem Size WHO ft Zoning Classification <br /> Garage Size /I//4 Overlay/Agreement +�- <br /> VALUATION It<<f if) aro. $s Nonresidential Use �✓vl9 i )� Cf14 <br /> Number of Stories / Residential Use <br /> Occupancy Group /71 Proposed No. of Dwelling Units: <br /> Occupant Load 7 Total No.of Dwelling Units: <br /> Basement No x Yes_ Fin / Unfin Landscape or Planning Inspection / <br /> Type of Construction a needed before final? Yes_ No✓ <br /> Existing Sprinkler System? Yes Y. No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes )( No Phone#: s--- <br /> Reason Approved _ - Date: Le/ 7 / ( <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_ NoX Calculated School Impact Fee: <br /> Architectural Approved By/Date. School Impact Fee Credit: <br /> Structural Approved By/Date: r6°�074.8 Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> U P BLIC 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 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 f lder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 40 <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 Service Yes No_ Existing Bldg._ <br /> Approved by: Date: r <br /> Comments: <br />