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FOR OFFICE USE ONLY PERMIT# V 17t)7ôic <br /> BUILDING _.. PLANNING. .?. <br /> Bldg/TI/Addn/ em Size °335 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 36o0 Nonresidential Use � I U[ 1/2_ <br /> Number of Stories 1 Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: —� <br /> Occupant Load ,0141EO Total No.of Dwelling Units: <br /> Basement NoN Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No1C, Unk_ Planning Inspector: —' <br /> Fire Sprinkler Required Yes <br /> No 'p Phone#: ._---- <br /> Reason 5‘2'. /t x(57IAI(7 Approved bl! Date: '1 J ZCD/i <br /> Existing Fire Alarm Yes_ No )C Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No <br /> Reason EX(5111\3¢ Everett School Dist M • -o School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No )G #of Net New Units' <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No_ Calculate. : ool Impact Fee: <br /> Architectural Approved By/Date: Wit% Hp t€ p(to? School Impact Fee Credit: <br /> Structural Approved By/Date: _441 ql - Total School Impact Fee Owed: <br /> Comments: / Comments: <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: 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 -e iew(separate gree fold ) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: .. late: 7 j <br /> Water Fee 0 PW Permit Approved-PW <br /> dr, <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 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: <br /> Comments: <br />