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FOR OFFICE USE ONLY PERMIT# 193'06I5 <br /> BUILDING PLANNING. <br /> Bldg/TI/Addn .ize 4/S-0/( Zoning Classification t�` 2— <br /> Garage Size Overlay/Agreement ¢ <br /> VALUATION 50 000 Nonresidential Use J (J i -G (0 <br /> Number of Stories I Residential Use <br /> Occupancy Group f/,1 Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Nok Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Constructionneeded before final? Yes No_ <br /> Existing Sprinkler System? Yes_ No—Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: / <br /> Reason Approved by: Taj' Date: 2 Q/$` <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: der 6,/t1/8 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: rJ/ss" /4_C (u5€c. Comments: <br /> Intake OK by: 44+ 4— 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 ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 2S, Date: 03124112Mb <br /> Water Fee ❑ 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 FIRE:DEPARTMENT I. <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 />