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0\,...r, <br /> FOFP7 OFFICEUSE ONLY PERMIT#M1-1 \r-1-1)1OU <br /> 60ii6116': ! :- :„;:; ::: ::::::: :: :: E -.i:-:::: -7,: ::::,..: :::..l . ' PLANNING ::::: : <br /> Bldg/TI/Addn/Rem Size , Zoning Classification <br /> C -2-ES <br /> Garage Size Overlay/Agreement <br /> VALUATION . Nonresidential Use \\,0\e-\ <br /> Number of Stories Residential Use <br /> Occupancy Group , Proposed No.of Dwelling Units: <br /> Occupant Load : Total No.of Dwelling Units: V <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:C ...s() Date: V2--/Vfr/k-4— <br /> Existing Fire Alarm Yes No Unk Historic Approved by: 13 1 k Date: <br /> Fire Alarm Required Yes_____ No_____ School Mitigation Reqd? Yes No V <br /> Reason Everett School Dist Mukilteo School Dist <br /> ROW 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: E,..... "2/ 9-31).0...../7 School Impact Fee Credit: <br /> Structural Approved By/Date: ----- Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by:I 1711 <br /> . 4,3- Intake OK by: .-.- ) Ok to route )( Hold <br /> Make this a" ermit? Yes No <br /> ...'''::;'.• :..0,J8PdlAt00.10':'.V T,:. <br /> pet8ii,,.:.: : :.: : i : ,,, ... ::::.. .:. : ,.i INTAKE Checked By: tst-t-1--- Date: <br /> Plan Check Check Fee Comments: No <br /> e-tfe . <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check Et 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-Concurren Review(separate gree fold ) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer' 3— Date: 2... g <br /> Water Fee 0 PW Permit Approved-'PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> . _ <br /> Traffic Mitigation Fee - <br /> Public Works Fee : .: ‘'i'-: ': :is:i:..: :-:: Plig:E:000*010014T-':::::!'s <br /> School Mitigation Fee Update/New Sprinklers Yes No ",-----Existing Bldg. .'"---- <br /> Update/New Detection .Yes/ No Existing Bldg. V . <br /> Update/New Chemical Yes No / Existing Bldg. .7. <br /> Update/New Fire S rvice Yes No.7" Existing Bldg. ./ <br /> Approved by: U1. T Date: 1—2, <br /> Comments: <br />