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FOR OFFICE USE ONLY PERMIT# l---)` -[ D33 <br /> BUILDING <br /> PLAT . <br /> BldgTfl/Add ize E.A/�7 f4. Zoning Classification '�—l <br /> Garage Size Overlay/Agreement <br /> VALUATION -Z5 Nonresidential Use <br /> Number of Stories / Residential Use E-1----- <br /> Occupancy <br /> -}%Occupancy Group g Proposed No. of Dwelling Units: ---- <br /> Occupant Load Total No. of Dwelling Units: - <br /> Basement No_ Yes, 9Fin / Unfin Landscape or Planning Inspection <br /> 4.7-.E. <br /> .lL.b — <br /> Type of Construction needed before final? Yes No 1.----- <br /> Existing Sprinkler System? Yes No_Link_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: / <br /> Reason Approved'.',t' Date: (g/(30/r4- <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 Mu ' 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 ool Impact Fee: <br /> Architectural Approved By/Date: z4& / ►//.9- Sch mpact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2,4 /5 //&. it WS-4C Comments: N C) c5,_ © kcA <br /> Intake OK by: Intake OK by. Ok to route V Hold <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: K.8 Date: 7 -z4--i 7 <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check -NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <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 0 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: !'- <br /> P <br />