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FOR OFFICE USE ONLY PERMIT# OW fgo3-6®3 <br /> BUILDING PLANNING <br /> Bldg/TI/Add .ize I,-0 24- Zoning Classification — <br /> Garage Size Overlay/Agreement <br /> VALUATION I Oati q 9 7_ Nonresidential Use <br /> Number of Stories I Residential Use S <br /> Occupancy Group R Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: Q`1,k <br /> Basement No_ Yes)<01 Unfin Landscape or Planning Inspection <br /> Type of Construction 1113needed before final? Yes_ No `4. <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: 7......---- <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: Date: (St. j 1,CX <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: N I k 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: c* ,f/6/1 e School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: /6 /ic, ; � Comments: <br /> t'.12cc S\tioA hcs. eAccochn e\osszr Ne, -k-of oV <br /> Intake OK by: ( Intake OK by by.,06____Ccie Ok to route )<. Hold <br /> Make this a"W"Permit? Ce.g No_ <br /> PUBLIC WORKS <br /> —I ....911ziwit_ <br /> FEES -! INTAKE: Checked By:... Date: <br /> Plan Check Fee Comments:t\ <br /> ►\ro Scapa_ <br /> Building Permit 1 <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ISPublic 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 eview(separate gr n f der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 2. Oat <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee IR 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: 60.1" <br />