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FOR OFFICE USE ONLY PERMIT# 0....ik(410 —003 <br /> BUILDING PLANNING <br /> Bldg Rem Size (4C4 K t., 3 i1`r Zoning Classification <br /> Garage Size fz Overlay/Agreement <br /> VALUATION / 2 Nonresidential Use <br /> Number of Stories / Residential Use 2-- <br /> Occupancy <br /> Occupancy Group k. Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: / <br /> Basement No_ Yes"e Fin / 4j 'i Landscape or Planning Inspection / <br /> Type of Construction needed before final? Yes_ No V <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: ---'— <br /> Reason Approved V <br /> -'a'� `-' Date: ill , l'i-7- <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: \1l, ///3// Z School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 7_0 /S /Ac. ,f° lJSgeL Comments:--- <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes_ No, <br /> ' PUBLIC WORKS <br /> FEES INTAKE: Checked By:jDate: q ff� <br /> Plan Check Fee Comments:.��OSic L1lQ TiwC c 2 Od>' &1/Meek <br /> Building Permit <br /> NO Pal sezre, <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check lEl 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 Bre n Ider) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer)C$- Date: � // q-' <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee igPW 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 />