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FOR OFFICE USE ONLY PERMIT# Y I (0-/-)0 <br /> BUILDING PLANNING <br /> Bldg/TI/Add em i /tel Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 12-00 Nonresidential Use <br /> Number of Stories Residential Use CIOCOAP.1 <br /> Occupancy Group t Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes 2. Fin / � Landscape or Planning Inspection <br /> Type of Construction g needed before final? Yes— No '')(- <br /> Existing <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: 11--• GG33 Date: (o- 1 LH 467 <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No X <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: t/(�f / School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2-0, //C_J' W1CgG Comments: e.ls LrV ()Awl, exl\¢-Xe er orjej <br /> / ivrat; 11A ` <br /> 0-5 JOrr- Or- <br /> Intake OK by: /M Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No IX <br /> ELIC WORKS <br /> INTAKE: Checked By.. Date: 61/11 <br /> Plan Check Fee Comments: s <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check Er 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 Feview(separate gre n f !der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: l 207 <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: <br /> Comments: v 1\h^f��vj ` 'UA <br /> �II/t1 <br />