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FOR OFFICE USE ONLY PERMIT# 8 fl O(JO2 <br /> BUILDING PLANNING. <br /> t g "I/Addn/Rem Size -43 95 �/ Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION3`/ 90 Nonresidential Use <br /> Number of Stories Z- 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 needed before final? Yes )- No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: Jp tut, JI so-71 <br /> Fire Sprinkler Required Yes_ No_ Phone#: l L, 5'-) C� 7 3`7 <br /> Reason Approved by: / Da'te: —7/f,S (("7 <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved 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: ZJh7-- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2045- �, C 15 jf C Comments: 651s-_003 <br /> S1c 3 <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: cB Date: 4, •2.1 /7 <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 r❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee I!�.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: kg Date: 7r/I-I 7 <br /> Water Fee PW Permit Approved-PW <br /> Sewer Fee 0 See 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: 7—i g..( <br /> Comments: <br />