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FOR OFFICE USE ONLY PERMIT# 1 � � 2 <br /> BUILDING PLANNING <br /> dg I/Addn/Rem Size 3i 100 S} Zoning Classification <br /> age Size X14 Overlay/Agreement <br /> VALUATION I /7,5- /V. 00 Nonresidential Use <br /> Number of Stories Z Residential Use rAJ UU-1 • i rrlt t <br /> Occupancy Group 8 Proposed No. of Dwelling Units: <br /> Occupant Load 1761 Total No. of Dwelling Units: <br /> Basement No_ Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V8 needed before final? Yes No X <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No X Phone#: <br /> Reason Approved by: 11,. Date: 11,1,0–j ci <br /> Existing Fire Alarm Yes `C No_Unk_ Historic Approved by: . — Date: ----- <br /> Fire Alarm Required Yes X No_ School Mitigation Reqd? Yes No),C <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No 4_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior ° final?Yes_ No> • Calculated School Impact Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: y/& /' 4/Zoxj Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: It> Intake OK by: Ok to route Hold <br /> Make this a"W' P rmit? es I No <br /> ' .FBLIC ORKS <br /> FEES INTAKE: Checked By. - Date: _ ,411.1 <br /> Plan Check Fee Comments: kg%/f J SYS L t✓ '�CC- Z%sf ado <br /> Building Permit 10 ° 0' ` <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 3E1 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: -n; Date: j/io I i q, <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee gl-See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE.DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No X Existing Bldg._ <br /> Updates New Detection Yes )C No_ Existing Bldg. <br /> V..ate/New Chemical Yes_ NoX Existing Bldg._ <br /> Update/Net <br /> ire Service Yes_ NoX Existing Bldg._ <br /> Approved b ,".7_742.1.:( Date: //7`Z04' <br /> Comments: <br /> 0 <br />