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FOR OFFICE USE ONLY PERMIT# CA(9 3-o l <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size ( S 1'15 5f Zoning Classification <br /> Garage Size 3��. 5/ Overlay/Agreement <br /> VALUATION I C141°1 41-q`i Nonresidential Use <br /> Number of Stories .3 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 7 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved . , late: /z5 7e/(-7 <br /> Existing Fire Alarm Yes No Unk Historic Appro ed 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 Impact Fee: <br /> Architectural Approved By/Date: CO (3/2.g//7 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 20/Z //2,,C (,�JSy�G Comments: <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 eview(separate gre n older) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer. Date: S <br /> Water Fee fa-PW Permit Approved-PW/S03-032 <br /> Sewer Fee ErSee 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: ( �\ <br />