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FOR OFFICE USE ONLY PERMIT# biSO(2113 <br /> BUILDING = <br /> PLANNING <br /> BldglTl/Addn/Rem Size Zoning Classification V--- 1 <br /> Garage Size R SO Sr Overlay/Agreement <br /> Q S S <br /> VALUATION I i 000 Nonresidential Use <br /> Number of Stories I Residential Use ci.e.hovel '`j <br /> Occupancy Group (A Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_X Yes_ Fin ,/ Unfin Landscape or Planning Inspection <br /> Type of Construction .371:13 needed before final? Yes_ No 1( <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No— Phone#: <br /> Reason Approved by: V, Date: C6-Zl•'I 4 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: -- Date: — <br /> Fire Alarm Required Yes_ 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_ #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: -7`/ //,i2) School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z DIic /4,C,.., Comments: n e.).31, I4C,.�'-'1, Ai � N 1-701q.6 <br /> Intake OK by: alh Intake OK by: Y-14- Ok to route X Hold _ <br /> Make this a"W"Permit? Yes_ No X <br /> ' P SU WORKS <br /> FEES ;' INTAKE: Checked By. Date: <br /> Plan Check Fee Comments: y,, erg ,/ <br /> Building Permit pb((f jj -to `,"--'"41LW1, • <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 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate gre-n fold-) <br /> I <br /> Ping Bldg Review Fee P 4 REVIEW: PW Reviewer: ,4 Date:—05-0 ti <br /> Water Fee E! -W Permit Approved-PW U —05-0 <br /> Sewer Fee ■ See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee <br /> ` 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 />