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FOR OFFICE USE ONLY PERMIT# f 11 -co- <br /> BUILDING PLANNING ;. <br /> Bldg/TI/Add /Rem Si ST(G0 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> I VALUATION 1 \4'c( coo Nonresidential Use <br /> Number of Stories N Residential Use <br /> Occupancy Group 6. /$–X Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No A Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V& needed before final? Yes_ No— <br /> Existing Sprinkler System? Yes Xi No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes X No_ Phone#: <br /> Reason N ,Pi 13 Approved by:C c E Date: &l'e k/nVV 4-- <br /> Existing Fire Alarm Yes )0 No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Irv'! .&i' y Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No )6 #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/Daterrti43/ 4/I/ School Impact Fee Credit: <br /> Structural Approved By/Date: ( 'iJ \2.j ill(n? Total School Impact Fee Owed: <br /> Comments: �LZCti As-u is IA j Comments: <br /> Ickr►hiro ®S n <br /> Intake OK by: (0 tttt1 4 Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" rmit? Yes No <br /> PUBLIC WORKS, <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit (/t, 1 1640(10/ ►fn Loi- tct . <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 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: 0 <br /> Comments: <br />