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FOR OFFICE USE ONLY PERMIT# \Zj zO( - o22 <br /> BUILDING PLANNING. <br /> Bldg/TI/Ad Rem Siz -4 �q 1 Zoning Classification E— t <br /> Garage Size Overlay/Agreement ` <br /> VALUATION G �Q) COO Nonresidential Use �,coecle\JS O \CC <br /> Number of Stories Reeid fin 'a^ <br /> Occupancy Group 6t� Proposed No. of Dwelling Units: I <br /> Occupant Load / ! Total No. of Dwelling Units: <br /> Basement No SYes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 1.,..--5 needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes_ No e Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No.4 Phone#: <br /> Reason Approved by:( Date: t/'LW /2-01Y' <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: 1 Date: <br /> Fire Alarm Required Yes 6 No_ School Mitigation Reqd? Yes No `I. <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No '7S #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No 2E Calculated School Impact Fee: <br /> Architectural Approved By/Date: /'—p2 9—,t --1/ School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed. <br /> Comments: Comments: 0\0,1 <br /> 2(2 \\5rt , t �' <br /> Intake OK by: .1kr I f /16 Intake OK by: Ok to route _ Hold _ <br /> Make this a" /Permit? Yes_ No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit 0 <br /> Surcharge High Hazard Sites(Dental/Medical,Ani s,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Zr: is Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public WV‘Review Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Pe7frConcurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: W Reviewer: Date: <br /> Water Fee 0 PW Pyr it Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> r <br /> Systems Dev. Fee 04'W Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE <br /> School Mitigation Fee Update/New Sprinklers Yes_ No/ Existing Bldg. /' <br /> Update/New Detection Yes f No_ Existing Bldg. / <br /> Update/New Chemical Yes_ No / Existing Bldg. <br /> Update/New Fir Se ice Yes_ No /Existing Bldg. <br /> Approved by: U� Date: —30-I '3 <br /> Comments: //.1 <br /> (...-----.‘ <br /> u,Ceo'vv1 re-00 t tee-) <br />