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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification A <br /> Garage Size Overlay/Agreement �� <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use Vv "f( <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#: J <br /> Reason Approved b Date: -41'1—/ a" <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: � Date: 111 <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: it!" School Impact Fee Credit: <br /> Structural Approved By/Date: `ti Total School Impact Fee Owed: <br /> Comments:APO S>� PJ✓'r et(W. S Tot 4)&d6^'E`d Comments:.-- <br /> (J06w S,04L LE,adME r-fEEr 5 ;ra "it-eyi a <br /> 1>ri✓Ooc✓S / 9rci/*,04- c )6/sI r4 AJcPrAls. <br /> Intake OK by j,7l, 2744,k. ,.3 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-Concurren Revie (separate gre n folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: $ �I 281.$ <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer FeeSee PW Review Worksheettv`I-1,p' /Sft (( 15 //�� <br /> Systems Dev. Fee W Permit Not Required 0 l VCCt !S I/U 61 f S -U <br /> Traffic Mitigation Fee Yep 0 e <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No <br /> Update/New Detection Yes •_ Existing Bldg. <br /> Update/New Chemical es_ No_ Existing Bldg. <br /> Update/New Fire ice Yes_ No_ Existing Bldg._ <br /> Approved b • Date: <br /> Commen s: <br /> z/z <br />