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FOR OFFICE USE ONLY PERMIT# d ('60(-02.4 <br /> BUILDING PLANNING <br /> Bld /TI/ ddn/Rem Size Co I(9",)� Zoning Classification 1\1\ <br /> Garage Size Overlay/Agreement <br /> VALUATION /J-0,060 l Nonresidential Use <br /> Number of Stories 1 (r-J Residential Use <br /> Occupancy Group 5'/ E Proposed No. of Dwelling Units: <br /> Load <br /> Occupant j <br /> p c� Total No.of Dwelling Units: <br /> Basement No 15 Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction '"`13 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: '3/2-5CJ Zc!‘%c <br /> Existing Fire Alarm YeS74 No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes Z- 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 ZS #of Net New Units: <br /> Add'!RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: <br /> Architectural Approved By/Date: c, 1 School Impact Fee Credit: <br /> Structural Approved By/Date: - Total School Impact Fee Owed: <br /> Comments: Comments: = <br /> Intake OK by: 2 la Intake OK byT:SO Ok to route Hold _ <br /> Make this a"W ermit? Yes No <br /> PUBLIC WORKS <br /> EES 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 gree folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 5 Date: ( 2--( <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet iyG 5I a.w <br /> Systems Dev. Fee E1 PW Permit Not Required aims <br /> Traffic Mitigation Fee U <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 />