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FOR OFFICE USE ONLY PERMIT# I� .Od <br /> f3 t F S. )h S��/.'.�'i Y $ t � kT 3'4� a ,.Ul � [ Z i. S .._<�4C/di�AL� � <br /> E.,.>.A iLI)144 1 l K �r l4 S ? ... K j i x \l 4 3 MMO,'1[�ICy,E I2..f ;ik 1. <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION �- t9— Nonresidential Use <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— <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: Date: <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 r quired prior to final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved: ' Date: School Impact Fee Credit: <br /> Structural Approved: Date: I?( Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> .;3 w,��a 2s�) sa-;�^„��'�?#ef�'Yv"x�iyLB� r-v c v ^s�c^,..�4 f�(k�a.�ts6�:sit jaa&£��z fit.! 4 `'"�;Wa �xtf�`r`"�(M� <br /> t'vs '' d'7; .::Sw �k..d a .,� M !.�. •f} �,'C'e5Y Rt x t+,� st t .'t< Y«g3 <br /> .C,:.er.Y.�s. �i-.ut.n..!�. ..�' ��1e t4e.w 5... �� .e� x. a. {.�4 :.'tt.v ..5..'L�.. <br /> j'$nt S rn s i h to ra4 VARIiEry}`�s ,' 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: A9 Date: 9 18 I7 <br /> Water Fee 1PW Perrr4App ovr ,)-PW <br /> Sewer Fee See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee ; £E &,,.:,EISO p- ► 'e .:,f ,w , iel..y <br /> School Mitigation Fee Update/New Sprinklers Yes ZNo_ 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: 7'^/c,- <br /> Comments: <br /> (i/�1 <br />