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FOR OFFICE USE ONLY PERMIT#0.- t.Tkicpc r 033 <br /> BUILDING PLANNING <br /> Bldg/TI alb"em Size 76 P Zoning Classification <br /> Garage Size 4/4 Overlay/Agreement <br /> VALUATION '5 000 Nonresidential Use (s <br /> Number of Stories Residential Use 0\ <br /> Occupancy Group 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: '/20(f-Oki"- <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: dtt 2,/2.1 /ice_ School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: a Q/.5- j/LC_ G(J-Sf�r Comments: (� <br /> 7t9 <br /> .5,F4-00177C,0 I _ \C '6 W J <br /> j <br /> Intake OK by .�� F OJ Intake OK by:niiP Ok to route K Hold <br /> Make this a"W"Permit? Yes_ NoX <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 0 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 Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: P /�� <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ee 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 />