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FOR OFFICE USE ONLY PERMIT# C/1711 -1)01, <br /> BUILDING <br /> PLANNING . . <br /> Bldg/TI/Addn -451111.;ize Zoning Classification - <br /> Garage Size Overlay/Agreement <br /> VALUATION -70pc3 Nonresidential Use <br /> Number of Stories 2- Residential Use <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 V <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> J' <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved Date: `\ l -7i 1- <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: - 1111 <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: /2-///�/ School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: j /c fico C Comments: <br /> Intake OK by: 4it Intake OK by: Ok to route Hold _ <br /> Make this a"W"Permit? Yes_ No )( <br /> PUBLIC.WORK • <br /> . <br /> FEES,; • INTAKE: Checked By: Date: <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 0 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 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 ■ See PW Review Worksheet <br /> Systems Dev. Fee i. W Permit Not Required ftl{ I p711.AlitOf <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 />