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700b - bhrd o vi <br /> FOR OFFICE USE ONLY PERMIT# 1 I off-- 049-t4 <br /> BIJILDIN0 PLANNING:: . <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <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 X No_ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: 041 <br /> Fire Sprinkler Required Yes_ No Phone#: `_A .110""S 21-/a2Reason Approved by: 0 (��G/"' Date: 3� v" <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No V <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: School Impact Fee Credit: <br /> Structural Approved By/Date: • 1 Total School Impact Fee Owed: <br /> Comments: Comts: Q/ <br /> �\-4(c) ,+ � 6 �i W. S a <br /> Lc4q1\4.4.4 <br /> Lkpu EA-k, <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No_ <br /> . .. ... ........ .. <br /> PUBLIC WORKS. . . <br /> FEES :: INTAKE: Checked By: AO Date: /2->2.-1 7 <br /> Plan Check Fee Comments: QkQ� 4-0 '/a <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:°`"Z.4'I le. <br /> Water Fee ,PW Permit Approved-PW 1112-OV <br /> Sewer Fee El 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 /> Update/New Detection .Yes_ No Existing Bldg. <br /> Update/New Chemical Yes No 0( Existing Bldg. <br /> Update/New Fire Service Yes_ No Se Existing Bldg. <br /> Approved by: A Date: <br /> Comments: <br /> (27 <br />