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FOR OFFICE USE ONLY PERMIT# 0/17O0'6 2i <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /75.17 Zoning Classification <br /> Garage Size S7Y,S' SI Overlay/Agreement <br /> VALUATION aZ'f-f/ V73 Nonresidential Use <br /> Number of Stories '2„ Residential Use <br /> Occupancy Group 1/2/61 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#: <br /> Reason Approved by: • Date: 1/(r/ l—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 )C 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: 6/z6�/-7- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z oys- /c wS'C- Comments: <br /> Intake OK by: Intake OK byre Ok to route _ Hold ✓ <br /> Make this a"W" Permit? Yes No �'11111JJJJJ����� <br /> PUBLIG WORKS, <br /> INTAKE: Checked B /*B Date: "Z Z 17 <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 g 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: k29 Date: 7.-/F/7 <br /> Water Fee J 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 FIREDEPARTMENT <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: n t�y� Date: 7—t$-I', <br /> Comments: (J <br /> C—;72:1"li <br />