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FOR OFFICE USE ONLY PERMIT# 1131,464(D t)I5 <br /> BUILDING <br /> �. -PLANNING <br /> Bldg/Tl/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: ¶e &&W• [b b 1 e9 L1112.1 O - <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: &VIM'N OVI <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No_ '4 <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:. LIH' /iZfi IN School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2 /S /AC (/lS6.G fA. /S/'SC Comments: .( <br /> tit'ill 0/011 6 f <br /> IVN <br /> kth WOW <br /> Intake 0 5f/-4(.(, C9,4 It-y A'ij// _ Intake OK by: Ok to route _ Hold _ <br /> Make thi � <br /> –/NA- 57. OA/u/L C°1'.'61/16c) UBLIC WORKS. <br /> Seajaevi/ `23,/O ZJ/5ea1. _ INTAKE: Checked By: Date: <br /> Plan ChE Comments: <br /> Building ` /Af7 ien,,9A)aL- SNAP tfI #' ab.. <br /> Surcharg /L�fq S fR CO of ([IPfC) Lois- sat _ High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additions 'T, 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> /`�p�2 IC�' _ <br /> Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanic _- 0 Public Works Permit-Concurrent Review(separate green !der) <br /> Ping Bldg PW REVIEW: PW Reviewer: Date: G I?.. <br /> Water Fe 0 PW Permit Approved-PW <br /> Sewer Fe - 0 See.PW Review Worksheet <br /> Systems Dev. Fee 1"'PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee . FIREDEPARTMENT , <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 />