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FOR OFFICE USE ONLY PERMIT# 0.--`alZ -0 0 ( <br /> BUILDING <br /> Bldg/TI/Ad• y Size 7 8 O .S,/ Zoning Classification -Z <br /> Garage Size Overlay/Agreement <br /> VALUATION 73 3 Nonresidential Use <br /> Number of Stories [ Residential Use S <br /> Occupancy Group E. Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes ap/ Unfin Landscape or Planning Inspection <br /> Type of Construction St needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#:' <br /> Reason Approved . Date: J Z / I / ( _- <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 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 Impar <br /> Architectural Approved By/Date: 0/) /2//#/9- School Imps a Credit: <br /> Structural Approved By/Date: Tot - chool Impact Fee Owed: <br /> Comments: Zoic ,2 C ? C4�,I"E C i <br /> Comments: -J 0 CA/1/CULA',.‘0/ 071/ <br /> 1 <br /> Intake OK by: Cji4' Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes_ No <br /> LIC.'WORKS <br /> FEES INTAKE: Checked By: Date: eZei <br /> Plan Check Fee Comments: p ""�f ) se, /ar? <br /> Building Permit V sexy <br /> �- <br /> Surcharge ,,Hiig//h Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check t3l►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 evie (separate gree f der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: Zig <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee Et PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FERE 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 />