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FOR OFFICE USE ONLY PERMIT# S)gC6"-CCH <br /> BUIL;DINC, PLANNINI �p... <br /> Bldg/TI/Addn/Rem Size Zoning Classification ,�I \, Co't E 5> <br /> Garage Size Overlay/Agreement "-' <br /> VALUATION Nonresidential Use ('\\A C.. <br /> Number of Stories 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 /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: < Date: \\. 1.l O . -Q)\ <br /> qr <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: A.1(A Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No X <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 p • o final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Dat: School Impact Fee Credit: <br /> Structural Approved By/Date: A,„Az /�/6/zt it Total School Impact Fee Owed: <br /> Comments: Comments: \"teA aA t5:2e)\c4- Aja vKAA <br /> co,)-se.,„ c_2g. A. A'J ,. \!).•\2.awl" <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/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' l( Date: 14 fri/7o/8 <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: 6/ 11 <br />