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FOR OFFICE USE ONLY PERMIT# P2 1 ''I <br /> BUILDING . . . ! PLANNING <br /> Bldg/TI/Addn/Rem Size / 0116isr Zoning Classification 6-1 tt <br /> Garage Size Overlay/Agreement }'t t.)0 <br /> VALUATION `I / l COO Nonresidential Use Cliki(— <br /> Number of Stories y7-,--/- ` Residential Use <br /> Occupancy Group si 7 Proposed No. of Dwelling Units: <br /> Occupant Load /0 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 25 No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: 116,, a Date: S`_ )6"--tbr <br /> Existing Fire Alarm Yes No Unk_ Historic Approved by: — Date: <br /> 73 <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 a Calculated School Impact Fee: <br /> Architectural Approved By/Date: Z__465.7. . ,...?/141G -)7 School Impact Fee Credit: <br /> Structural Approved By/Date: — Total School Impact Fee Owed: <br /> Comments: Comments: no -eilefir CkaliS ye,X '24 o <br /> al', i m - <br /> Intake OK by: # 54/i'la Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> k <br /> FEES � 1 INTAKE: Checked By: L-Ale' 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 ❑ 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: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee , '; FIRE DEPAARTMPNT <br /> School Mitigation Fee Update/New Sprinklers Yes ZS 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: =3ZS' Date: <br /> Comments: <br />