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FOR OFFICE USE ONLY PERMIT# ' 1 So 3'I1�1/ <br /> 10./ <br /> BUILDING <br /> PLANNING <br /> BldgfTI/Addn/Rem Size q0 2 S' Zoning Classification 8-3 <br /> Garage Size 9.0z s:r Overlay/Agreement <br /> VALUATION /5-490 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 �&A-QACz6)No_ Yes_,g Cy Unfin Landscape or Planning Inspection <br /> Type of Construction AL needed before final? Yes_ Nq <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: CIVDate: 3V/2r <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_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: <M7 ,f Z//S School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Zo/- /, Comments: <br /> Intake OK by: 4. Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? 6.--0 No_ <br /> >. RWORKS <br /> FEES INTAKE: Checked By: . Date: <br /> Plan Check Fee Comments: I\No <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ErPublic 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 pReview(separate gr n older) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer. Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee igrPW 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 /> CoDate: <br /> Comments: <br /> PexY1 `5ttAo6 hist rveb'at• <br /> yr <br />