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FOR OFFICE USE ONLY PERMIT# x i `'0 <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size //800 $F Zoning Classification S <br /> Garage Size A/M Overlay/Agreement <br /> VALUATION Ie./ /5(2 00 Nonresidential Use &jr oo\ <br /> Number of Stories I Residential Use <br /> Occupancy Group E Proposed No. of Dwelling Units: <br /> Occupant Load e 8 Total No. of Dwelling Units: <br /> Basement NoN. Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction (/-f needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No le Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No > Phone#: it <br /> Reason Approved by: IL-,N Date: S----24-I ' <br /> Existing Fire Alarm Yes X No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes V Noiditf 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 X #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No N< Calculated School Impact Fee: <br /> Architectural Approved By/Date.ilt School Impact Fee Credit: <br /> Structural Approved By/Date: \ 0 (41//q/i.ed Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Nk i.4....::_ 60'/Idi 1 A <br /> Intake OK .:,w.=„. .-�T .8 Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> PU LIG WORKS . <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments:/ f <br /> Building Permit 'v o PU) <br /> /2E <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 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 evieg(separate gree folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:. 74- Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ 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 xisting Bldg. <br /> Update/New Detection Yes_ No xisting Bldg. <br /> Update/New Chemical Yes_ No xisting Bldg. _/ <br /> Update/New FiService Yes_ No Existing Bldg. <br /> Approved by: .���.. ._ Date: '7.-L'4 —i <br /> 7Comments: k 1 <br /> gg <br />