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FOR OFFICE USE ONLY PERMIT# 1-7H.°S CO5 <br /> BUILDING • PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification g-"L', <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use kAu LT. <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 /> �. -- <br /> Reason Appro,,�•.:.4�• Date: ,j 1Lj-5 /r <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 S 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 Scho• pact Fee: <br /> Architectural Approved By/Date: School - 'act Fee Credit: <br /> Structural Approved By/Date: j'0" Lef 51 V± To al 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 /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental al,Animals, !•rtuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic ! ./RPBA- NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Rev' (bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Con .'rent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Re "-wer: Date: <br /> Water Fee ❑ PW Permit Ap- oved-PW <br /> Sewer Fee 0 See PW '-view Worksheet <br /> Systems Dev. Fee 0 PW P- mit 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 /> C-117-) <br />